Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1295962793 Individual Practitioner Female Practitioner

Dr. Olufadekemi Nurat Adewetan , DDS

Dentist - General Practice • Jacksonville, FL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Olufadekemi Adewetan, DDS is a registered healthcare professional specializing in Dentist - General Practice in Jacksonville, FL. Official NPI practice address is registered at 2080 CHILD ST.

Practice Location & Contact Primary Location

Practice Address

2080 Child St

Jacksonville, FL 322145005

Telephone 9045467100
Associated Practice Facility / Clinic
🏢 Naval Hospital Jacksonville Facility NPI 1265411383

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
363 Specialists

Practicing in Jacksonville, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-07-06
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 054620

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
Dr. Benjamin Meyrat , DDS

Dentist - Periodontics

NPI 1093865487

Doctor of Dental Surgery

NPI 1275323313
Dr. Robert Beebe , DDS

Dentist - General Practice

NPI 1376243360

Doctor of Dental Surgery

Kristin Chase , RDH

Dental Hygienist

NPI 1568129385

Registered Dental Hygienist

NPI 1619515343

Doctor of Dental Medicine

Molly Martineau , RDH

Dental Hygienist

NPI 1619634417

Registered Dental Hygienist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location July 06, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 9045467100)

📍
Updated Business Mailing Address July 06, 2023

Registered at 2080 CHILD ST, JACKSONVILLE, FL 322145005 (Tel: 9045427460)

NPI Profile Active June 11, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location June 11, 2009

Registered at 1770 GRAND CONCOURSE, STE 2F, BRONX, NY 104575524 (Tel: 7189018110)

📍
Updated Business Mailing Address June 11, 2009

Registered at 1770 GRAND CONCOURSE, STE 2F, BRONX, NY 104575524 (Tel: 7189018110)

👤
Provider Name / Credentials Updated June 11, 2009

Recorded as OLUFADEKEMI ADEWETAN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 11, 2009

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 11, 2009

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1295962793
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 11, 2009
Last Update: July 06, 2023
Sole Proprietor: No

Mailing Address

2080 Child St

Jacksonville, FL 322145005

Phone: 9045427460

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.