Provider Demographics
NPI:1144688086
Name:ALABI, OLABISI (DMD)
Entity type:Individual
Prefix:
First Name:OLABISI
Middle Name:
Last Name:ALABI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:OLABISI
Other - Middle Name:
Other - Last Name:ADENIJI ADELE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9025 N SAM HOUSTON PKWY E STE 160
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77396-4399
Mailing Address - Country:US
Mailing Address - Phone:281-359-5551
Mailing Address - Fax:
Practice Address - Street 1:9025 N SAM HOUSTON PKWY E STE 160
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77396-4399
Practice Address - Country:US
Practice Address - Phone:281-359-5551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-07
Last Update Date:2016-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX281641223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice