| Brad T Fulkerson, Dmd,msd,llc | |
|
700a Barrett Blvd Henderson KY 42420-4931 | |
| (270) 827-5522 | |
| (270) 827-8272 |
| Full Name | Brad T Fulkerson, Dmd,msd,llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 700a Barrett Blvd, Henderson, Kentucky |
| Authorized Official Name and Position | Brad Todd Fulkerson (OWNER) |
| Authorized Official Contact | 2708275522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brad T Fulkerson, Dmd,msd,llc 700a Barrett Blvd P.o. Box 276 Henderson KY 42420-4931 Ph: (270) 827-5522 | Brad T Fulkerson, Dmd,msd,llc 700a Barrett Blvd Henderson KY 42420-4931 Ph: (270) 827-5522 |
| NPI Number | 1730457763 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730457763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 12009862 (Indiana) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 7040 (Kentucky) | Primary |
Henderson Children's Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 700 Barret Blvd Ste A, Henderson, KY 42420 Phone: 270-827-5522 Fax: 270-827-8272 | |
Audubon Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 2nd St, Henderson, KY 42420 Phone: 270-826-2092 | |
Edp Of Kentucky Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 Starlite Dr, Henderson, KY 42420 Phone: 270-826-1414 | |
Jessica H. Renaker, Dmd Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 730 N Green St, Henderson, KY 42420 Phone: 270-826-7772 | |
Northwest Kentucky Dental Centre Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 616 Barrett Blvd, Henderson, KY 42420 Phone: 270-827-4534 Fax: 270-827-4503 | |
Audubon Dental Center Psc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 716 Second Street, Henderson, KY 42420 Phone: 270-826-2092 |