Sunday A Fawole, DDS, MD is a
Dentist - General Practice physician based in Snellville, Georgia. Sunday A Fawole is licensed to practice in Georgia (license number DNO12698) and his current practice location is 2395 Scenic Hwy S, Snellville, Georgia. He can be reached at his office (for appointments etc.) via phone at
(678) 377-6830.
NPI number for Sunday A Fawole is 1164591913 and his current mailing address is 2395 Scenic Hwy S, Snellville, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164591913.
Physician's Profile
| Full Name | Sunday A Fawole |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 2395 Scenic Hwy S, Snellville, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164591913
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 02/21/2022
Medical Identifiers
Medical identifiers for Sunday A Fawole such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164591913 | NPI | - | NPPES |
| 586073644E | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207QA0505X | Family Medicine - Adult Medicine | 55514 (Georgia) | Secondary |
| 1223G0001X | Dentist - General Practice | DNO12698 (Georgia) | 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. Sunday A Fawole 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 |
|---|
Sunday A Fawole, DDS, MD
2395 Scenic Hwy S,
Snellville, GA 30078-3134
Ph: (678) 377-6830 | Sunday A Fawole, DDS, MD
2395 Scenic Hwy S,
Snellville, GA 30078-3134
Ph: (678) 377-6830 |
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