Chad Coleman Fulmer D.D.S.

NPI 1891899811 - Dentist - 1223E0200X

NPI Details
NPI 1891899811
Gender Male
Enumeration Date 09/11/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4055 SERAPH DR
SUITE 4
CONWAY AR, 72034-3361, US
Phone (501) 329-7668
Fax (501) 329-2077
Business Location
4055 SERAPH DR
SUITE 4
CONWAY AR, 72034-3361, US
Phone (501) 329-7668
Fax (501) 329-2077
Toxanomy
Taxonomy Code 1223E0200X
License State Arkansas
License Number 3334
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According to our database, Dr. Chad Coleman Fulmer D.D.S. NPI is 1891899811, taxonomy code is 1223E0200X and license number is 3334, license state is located at Arkansas. Chad Coleman Fulmer D.D.S. physically located at 4055 Seraph Dr, Conway AR, 72034-3361. NPI Number Chad Coleman Fulmer D.D.S. has the Individual type.

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1891899811 NPI number is provided on an as is basis without warranty of any kind. 1891899811 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Coleman Fulmer D.D.S. are for informational purposes only.