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Active NPI 1063661361 Individual Practitioner Female Practitioner

Dr. Omolara M Fadare , DDS

Dentist - General Practice • Bastrop, TX

Professional Overview & Biography Verified Profile Summary

Dr. Omolara Fadare, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bastrop, TX. Practice services are available at 812 CHESTNUT ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

812 Chestnut St

Bastrop, TX 786023205

Telephone 5129857535
Associated Practice Facility / Clinic
🏢 Main Street Facility NPI 1710561824

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bastrop, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
11 Specialists

Practicing in Bastrop, TX (10570 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: 2024-08-14
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 24257

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.

Practice Associates & Co-Workers

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

1 Associated Practitioners
NPI 1457667842

Doctor of Dental Surgery

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 14, 2024

Registered at 812 CHESTNUT ST, BASTROP, TX 786023205 (Tel: 5129857535)

📍
Updated Business Mailing Address August 14, 2024

Registered at 8001 E WILLIAM CANNON DR APT 4311, AUSTIN, TX 787448330 (Tel: 3196216293)

👤
Provider Name / Credentials Updated August 14, 2024

Recorded as OMOLARA FADARE, DDS

NPI Profile Active September 11, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location September 11, 2008

Registered at 400 N TIMBERLAND DR, LUFKIN, TX 759010460 (Tel: 6789045665)

📍
Updated Business Mailing Address September 11, 2008

Registered at 400 GALLERIA PKWY SE, SUITE 800, ATLANTA, GA 303395980 (Tel: 6789045665)

👤
Provider Name / Credentials Updated September 11, 2008

Recorded as OMALARA FADARE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2008

Dentist (License #24257 in TX)

🟢
Initial NPI Registration & Enumeration September 11, 2008

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: 1063661361
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 11, 2008
Last Update: August 14, 2024
Sole Proprietor: No

Mailing Address

8001 E William Cannon Dr Apt 4311

Austin, TX 787448330

Phone: 3196216293

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.