Individual
DR. GEORGE FULTON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
730 BROOKDALE DR, STATESVILLE, NC 28677-3406
(980) 253-1025
Mailing address
3721 MORRIS FARM DR, SUITE 3C, GREENSBORO, NC 27409-8998
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5903845
—
NC
Enumeration date
01/27/2007
Last updated
06/18/2012
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