BRAD T FULKERSON, DMD,MSD,LLC
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1730457763- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 700A BARRETT BLVD, HENDERSON, KY, 424204931
- Phone
- (270) 827-5522
- Fax
- (270) 827-8272
Specialties & Taxonomies
Dentist
License: IN #12009862
Dentist, Pediatric Dentistry
Primary License: KY #7040