OrganizationKingsley Momodu, Dds & Associates, Pllc(Brite Care Dental)Clinic/CenterAmbulatory Health Care FacilitiesPractice Address2901 Breezewood Ave, Suite 101, Fayetteville, NC 28303-5409(443) 762-1987PECOS EnrollmentBased on the most recent information from CMS, provider Kingsley Momodu, Dds & Associates, Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1801148457Provider TypeOrganizationFull NameKingsley Momodu, Dds & Associates, PllcOther NameBrite Care DentalSubpartNoEnumeration Date10/6/2012Last Updated5/11/2023Contact InformationPractice LocationPractice Address2901 Breezewood Ave, Suite 101, Fayetteville, NC 28303-5409Phone(443) 762-1987FaxUnlisted FaxMailing LocationMailing Address2901 Breezewood Ave, Suite 101, Fayetteville, NC 28303-5409Phone(443) 762-1987FaxUnlisted FaxAuthorized OfficialNameMomodu, Kingsley Oise (Dental Surgeon/Proprietor)Phone(443) 762-1987Provider TaxonomiesCodeDescriptionLicenseCode261QD0000XPrimaryDescriptionClinic/CenterAmbulatory Health Care FacilitiesLicense#9234North Carolina