Individual
DR. MICHAEL EVERETT FULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5955 ZEAMER AVE, JBER, AK 99506-3702
(907) 580-5026
Mailing address
5955 ZEAMER AVENUE, JBER, AK 99506-5010
(907) 580-5026
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS-025694-L
PA
Other
Enumeration date
12/23/2005
Last updated
11/25/2013
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