Joshua Fulton, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9374 Issued in SC

Practice address

7897 Broad River Rd
Irmo, SC 29063-2357

Phone

(803) 781-2439

NPI assigned

Jun 15, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joshua Fulton Dentistry

  • Dental Clinic/Center
  • Irmo, SC
  • NPI 1578107405
  NPD Authorized official
• William a. Burn, III, DMD, PC

  • General Practice Dentistry
  • Irmo, SC
  • NPI 1316037104
  NPD (past)

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1730619495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1704 S CLEVELAND AVE STE 4",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571033903",
            "telephone_number": "605-331-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7897 BROAD RIVER RD",
            "city": "IRMO",
            "state": "SC",
            "postal_code": "290632357",
            "telephone_number": "803-781-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FULTON",
        "first_name": "JOSHUA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-15",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1154",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "DDS-09435",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "9374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA DENTAL LICENSE",
            "identifier": "9374",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH DAKOTA DENTAL LICENSE",
            "identifier": "D1154",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA DENTAL LICENSE",
            "identifier": "DDS-09435",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Irmo",
            "affiliation": "N",
            "address_1": "7897 Broad River Rd",
            "city": "Irmo",
            "state": "SC",
            "country_code": "US",
            "postal_code": "290632357",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Frohriep
• John Fry
• Caitlin Frye
• Vanessa Fuentes Posada, DC
• Sean Douglas Fuller, MD
• Shirley Ann Furtick
• Joseph N Gabriel, MD
• Jonathan W Gadson
• Nancy Gainous
• Aerriauna Gamble

• General Practice Dentistry in Irmo, SC
• Providers in Irmo, SC by specialty
• General Practice Dentistry in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.