Olutayo Odusanwo, DMD
NPI 1821492505 · Pediatric Dentistry · Providence, RI
Enrolled with Medicare as Order and Referring Only - Dentist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olutayo Odusanwo, DMD is a Pediatric Dentistry provider in Providence, RI (NPI 1821492505).
Provider details
- NPI number
- 1821492505
- Entity type
- Individual
- Primary specialty
- Pediatric DentistryDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- License
- DN1856580 (MA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 335 Prairie AveProvidence, RI 02905Phone: (401) 444-0430Fax: (401) 444-0489
Registry dates
- Enumerated
- 2014-10-09
- Last updated
- 2019-07-23
Frequently asked questions
- What is Olutayo Odusanwo's NPI number?
- Olutayo Odusanwo's National Provider Identifier (NPI) is 1821492505, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Olutayo Odusanwo's specialty?
- Olutayo Odusanwo is listed in the NPPES registry with a primary specialty of Pediatric Dentistry (Dental Providers).
- Where is Olutayo Odusanwo located?
- Olutayo Odusanwo's practice location on file with NPPES is 335 Prairie Ave, Providence, RI 02905.
- What is Olutayo Odusanwo's phone number?
- The practice phone number listed in the NPPES registry for Olutayo Odusanwo is (401) 444-0430.
- Does Olutayo Odusanwo accept Medicare?
- Olutayo Odusanwo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Olutayo Odusanwo's NPI active?
- Yes — Olutayo Odusanwo's NPI (1821492505) is active in the NPPES registry as of the last update on 2019-07-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.