Alan K Fulks, D.D.S., M.S.
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Kingsford, MI
NPI 1730101064 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1730101064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 10791 (MI)
- Practice address
- 405 North Blvd
Kingsford, MI 49802-4413 - Phone
- (906) 774-8490
- Fax
- (906) 774-4990
- NPI assigned
- Jul 24, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10791 | MI | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 10791 | MI | Yes |
Addresses
Primary practice location
405 North Blvd
Kingsford, MI 49802-4413
Mailing address
405 North Blvd
Kingsford, MI 49802-4413
Phone (906) 774-8490
Other providers in Kingsford, MI
- Hanna Paige Ellis
- Gail Esaman
- Amy Everett
- Family Chiropractic Clinic PC
- Kristina Nichole Fredrickson
- Megan Garvaglia
- Karissa Ginzel
- Chelsey Goad
- Dominique Golden
- Mary Grable
All providers in Kingsford, MI · Orthodontics and Dentofacial Orthopedics Dentistry in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.