Provider Demographics
NPI:1861192171
Name:AREMU, JOHN BABAWANDE (DMD, MPH)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BABAWANDE
Last Name:AREMU
Suffix:
Gender:M
Credentials:DMD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1258 ROUTE 28
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-4460
Mailing Address - Country:US
Mailing Address - Phone:857-272-9928
Mailing Address - Fax:
Practice Address - Street 1:1258 ROUTE 28
Practice Address - Street 2:
Practice Address - City:S YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-4460
Practice Address - Country:US
Practice Address - Phone:508-394-1133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2025-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH048871223G0001X
MEDEN50801223G0001X
MADN18599781223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NONEOtherNONE