NPI 1043478084 · live from the CMS NPI Registry
Dt Fulmer DMD PA
Dentist, Orthodontics and Dentofacial Orthopedics in Mauldin, SC. National Provider Identifier 1043478084, active.
NPI record
| NPI | 1043478084 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 105 East Butler Road, Suite D, Mauldin, SC 29662 |
| Practice phone | 864-297-1367 |
| Enumerated | May 27, 2008 |
| Last updated | May 27, 2008 |
| Authorized official | Duward Fulmer, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2457 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.