Zenovia Fulton, DMD, PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN13608 Issued in FL

Legal business name

ZENOVIA FULTON, DMD, PA

Practice address

6476 Fort Caroline Rd
Jacksonville, FL 32277-2042

Phone

(904) 743-0900

Fax

(904) 743-4645

NPI assigned

Jan 31, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Zenovia Fulton, DMD

Title

Owner

Phone

(904) 743-0900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Theodore Schneider, DMD

  • Dentist
  • Jacksonville, FL
  • NPI 1245441500
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422662400000",
    "number": "1073903860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6476 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772042",
            "telephone_number": "904-743-0900",
            "fax_number": "904-743-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6476 FORT CAROLINE RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322772042",
            "telephone_number": "904-743-0900",
            "fax_number": "904-743-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZENOVIA FULTON, DMD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-31",
        "last_updated": "2015-01-31",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "ZENOVIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-743-0900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003826000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Minire Zeneli
• Brenda M Zenk, M.D.
• Michelle M Zenko, MD
• Elisa A Zenni, M.D.
• Martin Zenni II, M.D.
• Alexandra Elizabeth Zent, APRN
• Shelcie L Zephir
• Andrew Zerbinopoulos, D.M.D.
• Bret Alan Zerger, M.A.
• Jose Zermeno, MD

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.