Individual provider · Type 1 NPI

Kelly Fulgham, RDH

Dental Hygienist · Memphis, TN

NPI number 1073178141 Active

Practice location

1723 Kirby Pkwy
Memphis, TN 38120-4367

Mailing address

3443 Bailey Creek Cv S
Collierville, TN 38017-9710

Specialties and licenses

TaxonomyCodeLicense
Dental Hygienist Primary 124Q00000X6540 (TN)

Dental Hygienist: An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and…

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About NPI 1073178141

Kelly Fulgham, RDH's National Provider Identifier is 1073178141, issued on May 4, 2019. The primary taxonomy on file is Dental Hygienist (124Q00000X), and the practice location is in Memphis, TN. The record was last updated on May 4, 2019.