Dr. Modupe Mary Ogunnusi Sofuye is a South Bend, Indiana based Dentist who is specialized in General Practice Dentistry. She does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Modupe Mary Ogunnusi Sofuye is 12012973A for General Practice Dentistry in Indiana. Her current practice location is 1290 E Ireland Rd, South Bend. Patients can reach her at 574-299-1400.
Dr. Modupe Mary Ogunnusi Sofuye is the primary dental care provider for patients of all ages. She is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Modupe Mary Ogunnusi Sofuye speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Modupe Mary Ogunnusi Sofuye
Specialization:
Dentist
Gender:
Female
Credentials:
DMD
Accepts Medicare Assignment:
No
Practice Address:
1290 E Ireland Rd, South Bend, Indiana, 46614-3474
Phone:
574-299-1400
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1437644549
NPI Enumeration Date:
30 Jun, 2018
NPI Last Update On:
30 Jun, 2018
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Modupe Mary Ogunnusi Sofuye are as mentioned below.
License Number
Specialization
State
Status
12012973A
General Practice Dentistry
Indiana
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
823b Sorin St, South Bend, Indiana
Zip:
46617-2047
Phone Number:
786-619-4170
Patients can reach Dr. Modupe Mary Ogunnusi Sofuye at 1290 E Ireland Rd, South Bend, Indiana or can call to book an appointment on 574-299-1400. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.