Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DEBORAH OLUWAKEMI BODUNDE
Deactivated Sole ProprietorDEBORAH OLUWAKEMI BODUNDE is a Periodontology healthcare provider located in COLUMBUS, Ohio. NPI 1619604469 is deactivated in the NPPES registry. Verify at CMS.
Periodontology · COLUMBUS, OH
This NPI has been deactivated.
The record was deactivated on March 13, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619604469
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 2, 2022 (0.61095890410959 yrs)
- Last Updated
- Apr 3, 2023
- Deactivated
- Mar 13, 2023
- License
-
RES.004499 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
305 W 12TH AVECOLUMBUS, OH, 43210Browse OH providers · Browse ZIP 43210
- Phone
- 6146883763
- Primary Specialty
-
Periodontology
1223P0300X
Other Periodontology Providers in COLUMBUS, OH
| Name | Credential | NPI |
|---|---|---|
| DR. JEROME TABACCA | D.D.S. | 1942202163 |
| DR. MARK RICHARD GORDON | D.D.S. | 1356365126 |
| DR. JINOUS ESLAMI | DDS | 1982798542 |
| DR. RONALD B GARVEY | DDS | 1124108907 |
| JOHN DOUGLAS WALTERS | D.D.S. | 1194809897 |
| DR. ANGELO J MARIOTTI | DDS, PHD | 1538237664 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.