Michael Steven Fulkerson, D.M.D. Valid NPI
Individual provider · General Practice Dentistry · Fort Campbell, KY
- NPI
- 1255315313
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 5739 (KY)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-12-02
- Last updated
- 2012-09-20
Practice location
2441 21st Street, Cdr, U.S. Army Dental Activity
Fort Campbell, KY 42223-5369
(270) 798-8614