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Active NPI 1548243249 Individual Practitioner Male Practitioner

Dr. Olusegun K. Alonge , DDS

Dentist - General Practice • Bryan, TX

Professional Overview & Biography Verified Profile Summary

Dr. Olusegun Alonge, DDS is a certified Dentist - General Practice practicing in Bryan, TX. With approximately 30 years of clinical experience since completing medical education in 1996, Dr. Alonge delivers high-quality medical care to the local community at 624 MARY LAKE DR.

Dr. Alonge does not directly accept Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

624 Mary Lake Dr

Bryan, TX 778013423

Telephone 9798462500
Fax 9798462530
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

1996

Medicare Assignment

Not Specified

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bryan, TX

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
30 Yrs Matches City Avg
City Avg: 30.0 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
38 Specialists

Practicing in Bryan, 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

Clinical Seniority & Experience Comparison

Dr. Alonge (30 Years) 30 Yrs
Bryan Specialty Average (30.0 Years) 30.0 Yrs

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 20289

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 20289

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
154467801 (TX)
Medicaid State Provider ID
154467803 (TX)
Commercial Insurance / Payer ID Npi Cinic B
1649265646 (TX)
Commercial Insurance / Payer ID Npi Agency
1821185299 (TX)
Commercial Insurance / Payer ID Npi Clinic R
1275620551 (TX)
Commercial Insurance / Payer ID Tax Id
741715140 (TX)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Theresa Foreman , DDS

Dentist - General Practice

NPI 1497039846

Doctor of Dental Surgery

NPI 1730814179

Doctor of Dental Surgery

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active June 20, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location June 20, 2011

Registered at 624 MARY LAKE DR, BRYAN, TX 778013423 (Tel: 9798462500)

📍
Updated Business Mailing Address June 20, 2011

Registered at 1500 UNIVERSITY DR E, #100, COLLEGE STATION, TX 778402600 (Tel: 9798461100)

👤
Provider Name / Credentials Updated June 20, 2011

Recorded as OLUSEGUN ALONGE, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2011

Dentist (License #20289 in TX)

🟢
Initial NPI Registration & Enumeration November 28, 2005

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: 1548243249
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 28, 2005
Last Update: June 20, 2011
Sole Proprietor: No

Mailing Address

1500 University Dr E, #100

College Station, TX 778402600

Phone: 9798461100

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.