DT Fulmer DMD PA
Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Mauldin, SC
NPI 1043478084 · NPPES record last updated May 27, 2008
Key facts
- NPI
- 1043478084
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2457 (SC)
- Legal business name
- DT FULMER DMD PA
- Practice address
- 105 East Butler Road
Suite D
Mauldin, SC 29662-2103 - Phone
- (864) 297-1367
- Fax
- (864) 676-1992
- NPI assigned
- May 27, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Duward T Fulmer, DMD
- Title
- President
- Phone
- (864) 297-1367
Practitioners 1
-
Elizabeth Fulmer Eakes, D.M.D., M.S.D.
National Provider Directory
Locations
105 E Butler Rd
Ste D
Mauldin, SC 29662
Phone (864) 297-1367
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry |
1223X0400X | 2457 | SC | Yes |
Addresses
Primary practice location
105 East Butler Road
Suite D
Mauldin, SC 29662-2103
Mailing address
105 East Butler Road
Suite D
Mauldin, SC 29662-2103
Phone (864) 297-1367
Other providers in Mauldin, SC
- DLP Inc.
- Tammy Denise Dock-Byrd
- Doctors Care, P.a.
- Karl Downer
- Madison Downs
- Lu Hien Duong
- Elizabeth Fulmer Eakes
- East Coast Electronics LLC
- Eckerd Corporation
- Eiken Enterprises Inc
All providers in Mauldin, SC · Orthodontics and Dentofacial Orthopedics Dentistry in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 27, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.