KINGSLEY OISE MOMODU


Address: 1400 Walter Reed Rd, Fayetteville, NC 28304-4409
Phone: 9108649884

KINGSLEY OISE MOMODU (NPI# 1285919902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285919902
Entity Type Individual
Full Name KINGSLEY OISE MOMODU
Credential D.D.S.
Practice Address 1400 Walter Reed Rd
Fayetteville
NC 28304-4409
Practice Telephone 9108649884
Practice Fax Number 9103541396
Mailing Telephone 9108649884
Mailing Fax Number 9103541396
Enumeration Date 2011-10-13
Last Update Date 2011-10-13
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
9234 NC Dental Providers

Office Location

Street Address 1400 WALTER REED RD
City FAYETTEVILLE
State NC
Zip Code 28304-4409

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861429284 Thomas Hugo Hamilton Jr. Dentist 1400 Walter Reed Rd, Suite 200, Fayetteville, NC 28304-4409 2006-06-28
1528485968 Biniam Tecle Dentist 1400 Walter Reed Rd, Fayetteville, NC 28304-4409 2014-03-24
1285803197 Rafael Rivera, Jr., Dds, Pllc Dentist 1400 Walter Reed Rd, Fayetteville, NC 28304-4409 2008-02-25
1922214691 Roselyn Brooks Kennedy Dentist 1400 Walter Reed Rd, Ste 200, Fayetteville, NC 28304-4411 2007-05-16
1952418618 Mark Tague Carlson Dentist 1400 Walter Reed Rd, Suite 200, Fayetteville, NC 28304-4409 2006-08-25
1952313090 Paige E Nance Dentist 1400 Walter Reed Rd, Suite 200, Fayetteville, NC 28304-4409 2006-08-13
1386677961 Ballance & Derose Dds Pa Dentist 1400 Walter Reed Rd, Suite 200, Fayetteville, NC 28304-4409 2006-07-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598301061 Coast To Coast Bilingual Counseling Social Worker 910 Hope Mills Road, Fayetteville, NC 28304 2019-11-20
1811530561 Frances L. Hurst Technician 6732 Carloway Dr, Fayetteville, NC 28304 2019-10-25
1538717764 Rose Mary A O'conner Technician 3530 Madison Ave, Fayetteville, NC 28304 2019-08-30
1932756087 Sally Frances Jones Technician 2053 Mango Circle, Fayetteville, NC 28304 2019-08-23
1326528803 Jeneen Yvette Townsend Counselor 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 2018-08-15
1780179580 Ma Cornelia Villavicencio Leano Nurse Practitioner 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 2018-06-25
1861986267 Pediatric After Hours Care of Fayetteville Pediatrics 556 Sandhurst Drive, Fayetteville, NC 28304 2018-06-19
1700386133 Good Night Medical of Ohio, LLC Durable Medical Equipment & Medical Supplies 405 Owen Dr Ste 202, Fayetteville, NC 28304 2018-02-12
1003321365 Valleygate Dental Surgery Center of Fayetteville, LLC Dentist 2038 Litho Place, Fayetteville, NC 28304 2017-12-08
1871004663 The Salt Project Marriage & Family Therapist 1611-b Owen Dr., Fayetteville, NC 28304 2017-10-19
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Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346898335 Chaitanya Joopally Dds Pllc Dentist 2050 Skibo Rd. Ste 104, Fayetteville, NC 28314 2019-09-03
1972151439 Ikenna K Okons Dentist 4200 Morganton Rd Ste 304, Fayetteville, NC 28314-1564 2019-08-28
1114488079 Bianca Kristina Adams Dentist 207 Forest Creek Dr, Fayetteville, NC 28303-5496 2019-03-25
1194226506 Michael E. Carter, Dds, Pllc Dentist 1874 N Hunters Rdg Ste 1, Fayetteville, AR 72701-2896 2018-02-22
1760900153 Elali Alisha Marie Moukwa Dentist 1916 Skibo Rd Ste C3, Fayetteville, NC 28314 2017-09-06
1548781107 Christopher Heard Dentist 265 N Jeff Davis Dr Ste 1a, Fayetteville, GA 30214-1668 2017-07-03
1881123305 Kenneth Boyd Lewis Jr. Dentist 4140 Ramsey St Ste 104, Fayetteville, NC 28311-7658 2017-06-08
1518496215 Van Michael Mcqueen Jr. Dentist 640 N Garland Ave # 104, Fayetteville, AR 72701 2017-06-06
1710415229 Alan Kuo Dentist 1400 Walter Reed Rd Ste 200, Fayetteville, NC 28304 2017-05-28
1508304866 Karan G Mirchandani Dentist 4251 Ramsey St Ste 8, Fayetteville, NC 28311-2130 2017-02-07
Find all providers in FAYETTEVILLE

Competitor

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City FAYETTEVILLE
Zip Code 28304

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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