Individual provider · Type 1 NPI

Charles Michael Fullem, DMD

Dentist · Enola, PA

NPI number 1154706380 Active

Practice location

2250 Millennium Way Ste 101
Enola, PA 17025-1488

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X2015022255 (MO)
Dentist Primary 122300000XDS040673 (PA)

Dentist: 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 requiremen…

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About NPI 1154706380

Charles Michael Fullem, DMD's National Provider Identifier is 1154706380, issued on Jul 29, 2015. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Enola, PA. The record was last updated on Aug 28, 2023.