DR. Matthew Scott Fullmer, DDS

NPI #1417184920 in Topeka, Kansas

Provider Information

NPI Number: 1417184920
Entity Type: Individual
Name: DR. Matthew Scott Fullmer, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Jun 11, 2009
Last Updated: Aug 31, 2011

Practice Location

Address: 2201 SW WESTPORT DR
Address 2: #400
City: Topeka
State: Kansas
ZIP Code: 66614-1914
Phone: (785) 228-1280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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