Organization · Type 2 NPI
Brad T Fulkerson, Dmd,msd,llc
Pediatric Dentistry · Henderson, KY
NPI number
1730457763
Active
Practice location
700A Barrett Blvd
Henderson, KY 42420-4931
Fax (270) 827-8272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 12009862 (IN) |
| Pediatric Dentistry Primary | 1223P0221X | 7040 (KY) |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
2 other providers at this address
Other pediatric dentistry providers in Henderson
About NPI 1730457763
Brad T Fulkerson, Dmd,msd,llc's National Provider Identifier is 1730457763, issued on Dec 5, 2011. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Henderson, KY. The record was last updated on Dec 5, 2011.