Oluyemisi Laditan, DDS is a
Dentist - General Practice based in Crystal City, Texas. Oluyemisi Laditan is licensed to practice in Texas (license number 25920) and her current practice location is
308 S Cesar Chavez Ave, Crystal City, Texas. She can be reached at her office (for appointments etc.) via phone at
(830) 374-2301.
NPI number for Oluyemisi Laditan is 1023215159 and her current mailing address is 308 S Cesar Chavez Ave, Crystal City, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023215159.
Healthcare Provider's Profile
| Full Name | Oluyemisi Laditan |
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| Gender | Female |
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| Speciality | Dentist - General Practice |
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| Location | 308 S Cesar Chavez Ave, Crystal City, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023215159
- Provider Enumeration Date: 07/02/2007
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Oluyemisi Laditan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023215159 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 122300000X | Dentist | 25920 (Texas) | Secondary |
| 1223G0001X | Dentist - General Practice | 25920 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Oluyemisi Laditan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Oluyemisi Laditan, DDS 308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 Ph: (830) 374-2301 | Oluyemisi Laditan, DDS 308 S Cesar Chavez Ave, Crystal City, TX 78839-4200 Ph: (830) 374-2301 |
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