# DICKENS AND ASSOCIATES P.C. DBA FULTON DENTAL ASSOCIATES

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

## Provider details

- **NPI number:** 1720256084
- **Authorized official:** SHANNON PRESLEY DICKENS D.D.S. (OWNER/PRESIDENT)
- **Authorized official phone:** (713) 225-2266

## Contact information

- **Practice address:** 2445 FULTON ST, SUITE, B, HOUSTON, TX 77009-7837
- **Practice address phone:** (713) 225-2266
- **Practice address fax:** (713) 225-2275
- **Mailing address:** 2445 FULTON ST, SUITE, B, HOUSTON, TX 77009-7837
- **Mailing address phone:** (713) 225-2266
- **Mailing address fax:** (713) 225-2275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 19874 | TX | Yes |

## Other

- **Enumeration date:** 02/20/2008
- **Last updated:** 02/20/2008