# MATTHEW N. FULTON, D.D.S, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528687175
- **Authorized official:** DR. MATTHEW N. FULTON D.D.S. (PRESIDENT)
- **Authorized official phone:** (810) 569-5196

## Contact information

- **Practice address:** 401 N BRIDGE ST, LINDEN, MI 48451-9789
- **Practice address phone:** (810) 735-7815
- **Mailing address:** 5697 WOODFIELD PKWY, GRAND BLANC, MI 48439-9427
- **Mailing address phone:** (810) 569-5196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/14/2020
- **Last updated:** 04/14/2020