Provider Demographics
NPI:1609525955
Name:LAWAL, ADEDAYO OREOLUWA (DDS)
Entity type:Individual
Prefix:DR
First Name:ADEDAYO
Middle Name:OREOLUWA
Last Name:LAWAL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3269 STEELYARD DR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-2381
Mailing Address - Country:US
Mailing Address - Phone:440-822-3353
Mailing Address - Fax:
Practice Address - Street 1:3269 STEELYARD DR
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-2381
Practice Address - Country:US
Practice Address - Phone:440-822-3353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-23
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
OH30.0276541223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program