Oluwafisayo Jebutu
Dentist - General Practice • Champaign, IL
Professional Overview & Biography Verified Profile Summary
Oluwafisayo Jebutu is a registered healthcare professional specializing in Dentist - General Practice in Champaign, IL. Practice services are available at 1902 N PROSPECT AVE STE 1 under active NPI credentials.
Practice Location & Contact Primary Location
1902 N Prospect Ave Ste 1
Champaign, IL 618221411
Specialty Benchmarks & Practice Insights
Comparative analytics for Dentist - General Practice in Champaign, IL
Practicing in Champaign, IL (5581 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2023-06-09NUCC Taxonomy Code: 1223G0001X
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.
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.
Secondary Practice Locations
3302 Gaston Ave
Dallas, TX 752462013
Phone: 2148288215
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 1902 N PROSPECT AVE STE 1, CHAMPAIGN, IL 618221411 (Tel: 2174082511)
Registered at 1902 N PROSPECT AVE STE 1, CHAMPAIGN, IL 618221411 (Tel: 2174082511)
NPI status registered as active in NPPES database
Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)
Registered at 3302 GASTON AVE, DALLAS, TX 752462013 (Tel: 2148288215)
Recorded as OLUWAFISAYO JEBUTU
Student in an Organized Health Care Education/Training Program
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1902 N Prospect Ave Ste 1
Champaign, IL 618221411
Phone: 2174082511
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