Family Dental Care Associates PSC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

FAMILY DENTAL CARE ASSOCIATES PSC

Practice address

6616 Dixie Hwy
#1
Florence, KY 41042

Phone

(859) 371-3950

NPI assigned

Jan 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Rodney Brent Fultz, DMDNPI 1962559328

Title

Sec Treas

Phone

(859) 371-3950

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Rodney Brent Fultz, DMD DENTIST

  • General Practice Dentistry
  • Louisville, KY
  • NPI 1962559328
  NPD (past) Authorized official

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1962554626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6616 DIXIE HWY",
            "address_2": "#1",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-3950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6616 DIXIE HWY",
            "address_2": "#1",
            "city": "FLORENCE",
            "state": "KY",
            "postal_code": "41042",
            "telephone_number": "859-371-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DENTAL CARE ASSOCIATES PSC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "FULTZ",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "SEC TREAS",
        "authorized_official_telephone_number": "859-371-3950",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "61941936",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eyemart Express
• Eyemart Express LLC
• Eyewear LTD Optical Inc.
• Stacy Ezell
• Bradley Scott Fairfield II, MD
• Family First Vision Care Kentucky, LLC
• Family Foot & Ankle Center Inc PA
• Family Nurturing Center of Kentucky
• Courtney Fancher, LPCC
• Brian Fanning

• Dental Clinic/Center in Florence, KY
• Providers in Florence, KY by specialty
• Dental Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; 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.