Fulcher Dental PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D07800 Issued in AZ

Legal business name

FULCHER DENTAL PLC

Practice address

1166 S Gilbert Rd Ste 117
Gilbert, AZ 85296-3462

Phone

(480) 888-8095

Fax

(480) 888-7222

NPI assigned

Dec 10, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Mack, RDH

Title

Owner

Phone

(480) 888-8095

Specialties & licenses 1

Addresses

Other names 1

• Town Sqaure Dental Doing business as

Locations

Practitioners 3

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

• Karl Baker, DDS

  • General Practice Dentistry
  • Mesa, AZ
  • NPI 1386769438
  NPD (past)
• Jeremy Diquattro, D.M.D.

  • Dentist
  • Gilbert, AZ
  • NPI 1881007565
  NPD (past)
• Adriatik Rama, DDS

  • Dentist
  • Gilbert, AZ
  • NPI 1598729907
  NPD (past)

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

{
    "created_epoch": "1386633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386633600000",
    "number": "1649601014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 S GILBERT RD STE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963462",
            "telephone_number": "480-888-8095",
            "fax_number": "480-888-7222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 S GILBERT RD STE 117",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852963462",
            "telephone_number": "480-888-8095",
            "fax_number": "480-888-7222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULCHER DENTAL PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-10",
        "last_updated": "2013-12-10",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-888-8095",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDH"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D07800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Sqaure Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tiffany Marie Fry, FNP
• Matthew J Fryberger, P.T.
• Frys Food and DRGS
• Lee Fu, MD
• Hadass Fuerst, D.O.
• Full Bloom Therapy Az
• Daphne Fuller
• Elizabeth Fuller, LMSW
• Madison Fuller
• Sarah Fuller

• General Practice Dentistry in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2013; 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.