Oyegunwa & Associates IV, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

OYEGUNWA & ASSOCIATES IV, PLLC

Practice address

1916 Skibo Rd Ste C5
Fayetteville, NC 28314-1500

Phone

(888) 617-5492

NPI assigned

Mar 5, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Olusegun A Oyegunwa, DDS

Title

President/Member

Phone

(910) 729-6560

Specialties & licenses 2

Addresses

Other names 1

• Dino Kids Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614902400000",
    "number": "1659966265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 53556",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283053556",
            "telephone_number": "910-729-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 SKIBO RD STE C5",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283141500",
            "telephone_number": "888-617-5492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OYEGUNWA & ASSOCIATES IV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-05",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A",
        "authorized_official_last_name": "OYEGUNWA",
        "authorized_official_first_name": "OLUSEGUN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT/MEMBER",
        "authorized_official_telephone_number": "910-729-6560",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dino Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Frankie Alan Oxendine, LMFT
• Gena Oxendine, LPCA
• Lauren Michelle Oxendine, DMD
• Sally Mae Oxendine, L.M.B.T.
• Tanya Michelle Oxendine
• Lydia Oyegunwa
• Olusegun Ayoola Oyegunwa, D.D.S.
• Chigolum Pamela Oyeka, MBBS, MPH
• Francis Ojochemi Oyih, MD
• Jaykumar Vasantbhai Oza, MD

• Pediatric Dentistry in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.