| NPI | 1437644549 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2018-06-30 |
| Last Updated | 2018-06-30 |
| Mailing Address | 823b Sorin St South Bend, IN 46617-2047 United States Phone: (786) 619-4170 📍 View Map |
| Primary Practice Address | 1290 E Ireland Rd South Bend, IN 46614-3474 United States Phone: (574) 299-1400 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 1223G0001X – Dentist, General Practice | IN | 12012973A |
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About NPI 1437644549
Modupe Mary Ogunnusi Sofuye DMD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1437644549. The primary specialty listed is Dentist, General Practice. The provider is located in South Bend, IN. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2018-06-30. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1437644549?
NPI 1437644549 belongs to Modupe Mary Ogunnusi Sofuye DMD, a Dentist, General Practice in South Bend, IN. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1437644549 active?
The current status of NPI 1437644549 in the NPPES registry is Active. The record was last updated on 2018-06-30.
What specialty is NPI 1437644549?
NPI 1437644549 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1437644549?
You can verify NPI 1437644549 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1437644549?
The primary practice address on file for NPI 1437644549 is 1290 E Ireland Rd, South Bend, IN 46614-3474. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1437644549 issued?
NPI 1437644549 was first issued (enumerated) on 2018-06-30. The NPPES record was last updated on 2018-06-30.
Practice Location Map
Modupe Mary Ogunnusi Sofuye is located at 1290 E Ireland Rd, South Bend, IN. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Modupe Mary Ogunnusi Sofuye. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1437644549. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Dentist, General Practice | 12012973A | IN |