Provider Demographics
NPI:1154575041
Name:OYEDELE, JUMOKE (DDS)
Entity type:Individual
Prefix:DR
First Name:JUMOKE
Middle Name:
Last Name:OYEDELE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 N CAPITOL AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95132-2572
Mailing Address - Country:US
Mailing Address - Phone:408-732-3264
Mailing Address - Fax:408-732-3110
Practice Address - Street 1:1206 N CAPITOL AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95132-2572
Practice Address - Country:US
Practice Address - Phone:408-732-3264
Practice Address - Fax:408-732-3110
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-05
Last Update Date:2008-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA322521223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice