Family & Restorative Dentistry
Organization Active NPI Dental Clinic/Center · Salem, WI
NPI 1497276729 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1497276729
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- License
- 3667 (WI)
- Legal business name
- FAMILY & RESTORATIVE DENTISTRY
- Practice address
- 7137 236TH Ave Ste 108
Salem, WI 53168-8975 - Phone
- (262) 843-4643
- NPI assigned
- Jun 27, 2017
- Organization subpart
- No
Authorized official
- Name
- Dr. James C Fulmer, DDS
- Title
- Dentist
- Phone
- (262) 945-2084
Practitioners 4
-
James Charles Fulmer, D.D.S.
-
Kaleigh E Fulmer, DDS
National Provider Directory
Locations
2909 Roosevelt Rd
Kenosha, WI 53143
Phone (262) 657-5408
7137 236th Ave
Ste 108
Salem, WI 53168
Phone (262) 843-4643
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | 3667 | WI | Yes |
Addresses
Primary practice location
7137 236TH Ave Ste 108
Salem, WI 53168-8975
Mailing address
7137 236TH Ave Ste 108
Salem, WI 53168-8975
Phone (262) 843-4643
Other practice location 1
2909 Roosevelt Rd
Kenosha, WI 53143-4641
Phone (262) 657-5408
Other names
- Fulmer Dentistry
Other providers in Salem, WI
- Michelle Cua
- Valentin Cuarto III
- Michael Robert Davis
- Tejas Ramesh Desai
- Kevin Erdman
- Joshua S. Fangman
- Chadi Farag
- James Charles Fulmer
- Shannon Gaines
- Melissa Galich
All providers in Salem, WI · Dental Clinic/Center in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. 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.