Provider Demographics
NPI:1609665637
Name:TOYIN ABIMBOLA DDS PLLC
Entity type:Organization
Organization Name:TOYIN ABIMBOLA DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TOYIN
Authorized Official - Middle Name:ADESEYE
Authorized Official - Last Name:ABIMBOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-322-8421
Mailing Address - Street 1:1189 RUSSET LN
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-8517
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3900 FAYETTEVILLE RD STE 120
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-3602
Practice Address - Country:US
Practice Address - Phone:919-322-8421
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty