Organization Active NPI

Fulton Dental, LLC.

  • General Practice Dentistry
  • Birmingham, AL
National Provider Identifier
1457542177
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5304 Issued in AL
Legal business name
FULTON DENTAL, LLC.
Practice address
1000 Chestnut St
Suite 100
Birmingham, AL 35216-2375
Phone
(205) 822-3838
Fax
(205) 822-0443
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. William Kane Fulton, D.M.D.NPI 1366579526
Title
Owner/ Manager
Phone
(205) 822-3838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 5304 AL Primary

Addresses

Primary practice location

1000 Chestnut St
Suite 100
Birmingham, AL 35216-2375

Mailing address

1000 Chestnut St
Suite 100
Birmingham, AL 35216-2375
Phone (205) 822-3838

National Provider Directory

National Provider Directory

Locations

1000 Chestnut St
Ste 100
Vestavia Hills, AL 35216
Phone (205) 822-3838

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1457542177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 CHESTNUT ST",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162375",
            "telephone_number": "205-822-3838",
            "fax_number": "205-822-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CHESTNUT ST",
            "address_2": "SUITE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352162375",
            "telephone_number": "205-822-3838",
            "fax_number": "205-822-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON DENTAL, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "FULTON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KANE",
        "authorized_official_title_or_position": "OWNER/ MANAGER",
        "authorized_official_telephone_number": "205-822-3838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.