KINGSLEY OISE MOMODU D.D.S.
NPI 1285919902
Dentist in Fayetteville, NC

Q: What is Kingsley Momodu's NPI number?

The NPI number for Kingsley Momodu is 1285919902. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Q: What is Kingsley Momodu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Kingsley Momodu was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 13, 2011

2901 BREEZEWOOD AVE STE 1011, FAYETTEVILLE, NC 28303(443) 762-1987(910) 779-1099 Get Directions Write a Review

NPPES record last updated: April 12, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 12, 2023, Apr 3, 2023 (2 updates tracked since 2023).

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About Kingsley Oise Momodu D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KINGSLEY OISE MOMODU D.D.S. (NPI 1285919902) is an individual dentist in Fayetteville, North Carolina, licensed in North Carolina (9234) and active in the NPI registry since October 2011.

NPPES Registry Identity

NPI1285919902

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameKINGSLEY OISE MOMODUCredential: D.D.S.

Location Address2901 BREEZEWOOD AVE STE 1011Fayetteville, NC 28303-6040

Mailing Address2901 Breezewood Ave Ste 1011Fayetteville, NC 28303-6040 · (443) 762-1987 · Fax (910) 779-1099

Phone(443) 762-1987

Fax(910) 779-1099

Sole ProprietorYes

Enumeration DateOctober 13, 2011

Last NPPES UpdateApril 12, 20232 updates tracked since enumeration

NPPES CertifiedApril 12, 2023

✔ NPI 1285919902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in NC · 9234

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

2901 BREEZEWOOD AVE STE 1011, Fayetteville, NC 28303

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kingsley Momodu's NPI number?

The NPI number for Kingsley Momodu is 1285919902. It was assigned to this individual provider in the NPPES registry on October 13, 2011.

Where is Kingsley Momodu located?

Kingsley Momodu practices at 2901 Breezewood Ave Ste 1011, Fayetteville, NC 28303. The listed phone number is (443) 762-1987.

What is Kingsley Momodu's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Kingsley Momodu accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, BEST Life and Blue Cross and Blue Shield of Montana and 12 other insurers list Kingsley Momodu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kingsley Momodu was last updated on April 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.