Organization · Type 2 NPI

Clint Fulks, Inc.

General Practice Dentistry · Benton, AR

NPI number 1467697003 Active

Practice location

1200 Ferguson Dr, Suite 4
Benton, AR 72015-3503

Call (501) 778-9222 Map

Fax (501) 778-9223

Mailing address

3316 Highway 5 N, Suite 1
Bryant, AR 72019-9031

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	3521 (AR)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

3 other providers at this address

Other general practice dentistry providers in Benton

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NPI record

NPI: 1467697003
Entity type: Organization (Type 2)
Issued: Dec 11, 2008
Last updated: Jun 1, 2023
Status: Active
Subpart: Yes of Clint Fulks, Inc.

Other names

<unavail>
Fulks Family Dentistry · doing business as
Fulks Family Dentistry · doing business as

Authorized official

Dr. Clint Allen Fulks, DDS
Owner
(501) 350-4564

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1467697003

Clint Fulks, Inc.'s National Provider Identifier is 1467697003, issued on Dec 11, 2008. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Benton, AR. The record was last updated on Jun 1, 2023.