Organization
PEAK DENTAL IMPLANT SOLUTIONS
Active
Other names
Amesbury Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRAD LYLE FULKERSON DMD (DENTIST / OWNER)
(978) 388-3505
Entity
Organization
Contact information
Practice address
282 ELM ST, AMESBURY, MA 01913-4320
(978) 388-3505
(978) 388-6363
Mailing address
41 SPARHAWK ST, AMESBURY, MA 01913-3317
(978) 388-3505
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
DN21905
MA
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1700094158
NPI
MA
Enumeration date
06/19/2018
Last updated
07/02/2024
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