NPI 1396803151 · live from the CMS NPI Registry
Roland Kirk Fulcher, DMD
Dentist, Orthodontics and Dentofacial Orthopedics in Summerville, SC. National Provider Identifier 1396803151, active.
NPI record
| NPI | 1396803151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 508 N Pine St, Summerville, SC 29483 |
| Practice phone | 843-871-7156 |
| Enumerated | December 5, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | 2862 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.