Provider Demographics
NPI:1427255694
Name:AINA, OLUBISI O (DDS)
Entity type:Individual
Prefix:DR
First Name:OLUBISI
Middle Name:O
Last Name:AINA
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 1:9161 NARCOOSSEE RD
Mailing Address - Street 2:SUITE 101B
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32827
Mailing Address - Country:US
Mailing Address - Phone:407-737-7767
Mailing Address - Fax:407-737-0769
Practice Address - Street 1:9161 NARCOOSSEE RD
Practice Address - Street 2:SUITE 101B
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32827
Practice Address - Country:US
Practice Address - Phone:407-737-7767
Practice Address - Fax:407-737-0769
Is Sole Proprietor?:No
Enumeration Date:2007-06-29
Last Update Date:2019-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN171111223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry