Sunday A Fawole, DDS, MD in Snellville, GA - Dentist

Sunday A Fawole, DDS, MD is a Dentist - General Practice physician based in Snellville, Georgia. Sunday A Fawole is licensed to practice in Georgia (license number DNO12698) and his current practice location is 2395 Scenic Hwy S, Snellville, Georgia. He can be reached at his office (for appointments etc.) via phone at (678) 377-6830.

NPI number for Sunday A Fawole is 1164591913 and his current mailing address is 2395 Scenic Hwy S, Snellville, Georgia. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164591913.

Contact Information

	Sunday A Fawole, DDS, MD
	2395 Scenic Hwy S, Snellville, GA 30078-3134
	(678) 377-6830
	(678) 377-6836

Physician's Profile

Full Name	Sunday A Fawole
Gender	Male
Speciality	Dentist - General Practice
Location	2395 Scenic Hwy S, Snellville, Georgia
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1164591913
Provider Enumeration Date: 11/07/2006
Last Update Date: 02/21/2022

Medical Identifiers

Medical identifiers for Sunday A Fawole such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164591913	NPI	-	NPPES
586073644E	Medicaid	GA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	55514 (Georgia)	Secondary
1223G0001X	Dentist - General Practice	DNO12698 (Georgia)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sunday A Fawole is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sunday A Fawole, DDS, MD 2395 Scenic Hwy S, Snellville, GA 30078-3134 Ph: (678) 377-6830	Sunday A Fawole, DDS, MD 2395 Scenic Hwy S, Snellville, GA 30078-3134 Ph: (678) 377-6830

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Sunday A Fawole, DDS, MD - Dentist in Snellville, GA