DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. YETUNDE FASORO, DDS

Active Sole Proprietor

DR. YETUNDE FASORO, DDS is a Dentist healthcare provider located in CHIPPEWA FALLS, Wisconsin. NPI 1932508496 is currently active in the NPPES registry. Verify at CMS.

Dentist · CHIPPEWA FALLS, WI

Registration Details

NPI Number
1932508496
Provider Type
Individual
Gender
Female
NPI Issued
Aug 20, 2014 (11.980256661224 yrs)
Last Updated
Jun 22, 2023
Licenses
DN014857 (GA)
1001171-15 (WI)
Sole Proprietor
Yes

Practice Information

Address
850 LAKELAND DR
CHIPPEWA FALLS, WI, 547291687
Browse WI providers · Browse ZIP 54729
Phone
7157382000
Primary Specialty
Dentist
122300000X
Additional Specialty
Dentist

Other Dentist Providers in CHIPPEWA FALLS, WI

Name Credential NPI
DR. BLANE CHRISTMAN DDS 1861591398
AMANDA SEISER SPITZ DDS 1306945720
DR. RONALD BRIAN SERSHON D.D.S. 1528137064
TODD W POST DDS 1770644700
RICHARD A SWEENEY DDS 1932318169
DR. DANIEL J WINN D.D.S. 1639332828
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.