| Matt Fulmer D.d.s., P.a. | |
|
562 Locust St Conway AR 72034-5349 | |
| (501) 327-7778 | |
| (501) 327-1736 |
| Full Name | Matt Fulmer D.d.s., P.a. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 562 Locust St, Conway, Arkansas |
| Authorized Official Name and Position | James Matthew Fulmer (PRESIDENT) |
| Authorized Official Contact | 5013277778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Matt Fulmer D.d.s., P.a. 562 Locust St Conway AR 72034-5349 Ph: (501) 327-7778 | Matt Fulmer D.d.s., P.a. 562 Locust St Conway AR 72034-5349 Ph: (501) 327-7778 |
| NPI Number | 1871838128 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 11/27/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871838128 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3582 (Arkansas) | Primary |
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