| Kingsley Momodu, Dds & Associates, Pllc | |
|
2901 Breezewood Ave Suite 101 Fayetteville NC 28303-5409 | |
| (443) 762-1987 | |
| Not Available |
| Full Name | Kingsley Momodu, Dds & Associates, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2901 Breezewood Ave, Fayetteville, North Carolina |
| Authorized Official Name and Position | Kingsley Oise Momodu (DENTAL SURGEON/PROPRIETOR) |
| Authorized Official Contact | 4437621987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kingsley Momodu, Dds & Associates, Pllc 2901 Breezewood Ave Suite 101 Fayetteville NC 28303-5409 Ph: (443) 762-1987 | Kingsley Momodu, Dds & Associates, Pllc 2901 Breezewood Ave Suite 101 Fayetteville NC 28303-5409 Ph: (443) 762-1987 |
| NPI Number | 1801148457 |
|---|---|
| Provider Enumeration Date | 10/06/2012 |
| Last Update Date | 05/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801148457 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | #9234 (North Carolina) | Primary |
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Valleygate Dental Surgery Center Of Fayetteville, Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 2038 Litho Place, Fayetteville, NC 28304 Phone: 910-485-7070 Fax: 910-485-1151 | |
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Riccobene & Associates Xiii, Dds, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6950 Nexus Ct, Fayetteville, NC 28304 Phone: 910-864-2400 Fax: 910-864-3016 | |
B.g.harrison D.d.s. And Associates, P.a. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1408 Skibo Rd., Fayetteville, NC 28303 Phone: 910-922-9989 | |
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