Clint Fulks, Inc.

NPI #1467697003 in Benton, Arkansas

Provider Information

NPI Number: 1467697003
Entity Type: Organization
Organization Name: Clint Fulks, Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: CLINT FULKS, INC.
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 11, 2008
Last Updated: Jun 1, 2023

Practice Location

Address: 1200 FERGUSON DR
Address 2: SUITE 4
City: Benton
State: Arkansas
ZIP Code: 72015-3503
Phone: (501) 778-9222

Authorized Official

Name: DR. CLINT ALLEN FULKS, DDS
Title: OWNER
Phone: (501) 350-4564

Specialties & Taxonomy Codes

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

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