Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124036173 Individual Practitioner Male Practitioner

Dr. Oluleke S Jeboda , DMD

Dentist - General Practice • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Dr. Oluleke Jeboda, DMD is a registered healthcare professional specializing in Dentist - General Practice in Dallas, TX. Practice services are available at 3616 S LANCASTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3616 S Lancaster Rd

Dallas, TX 752165629

Telephone 2143747100
Associated Practice Facility / Clinic
🏢 Peridot Dental Pllc Facility NPI 1083227904

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.7 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
749 Specialists

Practicing in Dallas, 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: 2020-08-28
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 32902

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
Dr. Christopher Emuedue , DMD

Dentist - General Practice

NPI 1043392996

Doctor of Dental Medicine

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location August 28, 2020

Registered at 3616 S LANCASTER RD, DALLAS, TX 752165629 (Tel: 2143747100)

📍
Updated Business Mailing Address August 28, 2020

Registered at 3616 S LANCASTER RD, DALLAS, TX 752165629 (Tel: 2173747100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2020

Dentist (License #32902 in TX)

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 108 1/2 N MAIN ST, LENOX, IA 508511238 (Tel: 6413332994)

📍
Updated Business Mailing Address July 08, 2007

Registered at 804 E OHIO ST, LENOX, IA 508511614 (Tel: 6413332778)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as OLULEKE JEBODA, D.M.D,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #08310 in IA)

🟢
Initial NPI Registration & Enumeration August 04, 2006

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: 1124036173
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2006
Last Update: August 28, 2020
Sole Proprietor: No

Mailing Address

3616 S Lancaster Rd

Dallas, TX 752165629

Phone: 2173747100

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.