Brad T Fulkerson, DMD,MSD,LLC
Organization Active NPI Pediatric Dentistry · Henderson, KY
NPI 1730457763 · NPPES record last updated Dec 5, 2011
Key facts
- NPI
- 1730457763
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 7040 (KY)
- Legal business name
- BRAD T FULKERSON, DMD,MSD,LLC
- Practice address
- 700A Barrett Blvd
Henderson, KY 42420-4931 - Phone
- (270) 827-5522
- Fax
- (270) 827-8272
- NPI assigned
- Dec 5, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Brad Todd Fulkerson, DMD
- Title
- Owner
- Phone
- (270) 827-5522
Practitioners 3
-
Caylee Duncan Ervin, DMD
-
Lauren Troutman Simmons, D.M.D.
National Provider Directory
Locations
700 Barret Blvd
Ste A
Henderson, KY 42420
Phone (270) 827-5522
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12009862 | IN | |
| Pediatric Dentistry |
1223P0221X | 7040 | KY | Yes |
Addresses
Primary practice location
700A Barrett Blvd
Henderson, KY 42420-4931
Mailing address
700A Barrett Blvd
P.O. Box 276
Henderson, KY 42420-4931
Phone (270) 827-5522
Other providers in Henderson, KY
- Wayland G Blikken
- Danielle N Board
- Leslie Bobo-Kiesel
- Suzanne Michelle Bowling
- Abigail Thrasher Boyd
- Rebecca Lynn Braden
- Trudy Bramblett
- Nolan Bramschreiber
- Taylin Brandenberger
- Pamela Brasher
All providers in Henderson, KY · Pediatric Dentistry in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2011. 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.