DR. Brad Lyle Fulkerson, D.M.D.

NPI #1700094158 in Amesbury, Massachusetts

Provider Information

NPI Number: 1700094158
Entity Type: Individual
Name: DR. Brad Lyle Fulkerson, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: May 18, 2007
Last Updated: Jun 8, 2018

Practice Location

Address: 41 SPARHAWK ST
City: Amesbury
State: Massachusetts
ZIP Code: 01913
Phone: (978) 388-3505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Student in an Organized Health Care Education/Training Program	390200000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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