1. Home
  2. Directory
  3. Georgia
  4. Fayetteville
  5. Dentist
  6. NPI Profile

DAVID MOTOBAN DDS
NPI 1669147161
Dentist in Fayetteville, GA

Active since August 16, 2021PECOS Enrolled
117 PAVILION PKWY, FAYETTEVILLE, GA 30214(770) 953-6975 Get Directions Write a Review

NPPES record last updated: August 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About David Motoban Dds NPPES

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

DAVID MOTOBAN DDS (NPI 1669147161) is an individual dentist in Fayetteville, Georgia, licensed in Georgia (DN122469) and active in the NPI registry since August 2021. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1669147161
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDAVID MOTOBANCredential: DDS
Location Address117 PAVILION PKWYFayetteville, GA 30214-7732
Mailing Address117 Pavilion Pkwy Ste 15cFayetteville, GA 30214-7732
Phone(770) 953-6975
Sole ProprietorNo
Enumeration DateAugust 16, 2021
NPPES CertifiedAugust 16, 2021
✔ NPI 1669147161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in GA · DN122469
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.
117 PAVILION PKWY, Fayetteville, GA 30214
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Motoban Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30214 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DARSHAN MAYUR PATEL DMD
Dentist
117 PAVILION PKWY
FAYETTEVILLE, GA 30214
Fayette County (770) 953-6975
FAYETTEVILLE SMILES DENTISTRY, PC
Dentist (General Practice)
117 PAVILION PKWY, SUITE 15B
FAYETTEVILLE, GA 30214
Fayette County (770) 953-6975

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 David Motoban's NPI number?

The NPI number for David Motoban is 1669147161. It was assigned to this individual provider in the NPPES registry on August 16, 2021.

Where is David Motoban located?

David Motoban practices at 117 Pavilion Pkwy, Fayetteville, GA 30214. The listed phone number is (770) 953-6975.

What is David Motoban's specialty?

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

Is David Motoban enrolled in Medicare?

Yes. David Motoban is registered in the Medicare PECOS enrollment system.

What insurance does David Motoban accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list David Motoban 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 David Motoban was last updated on August 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.