Organization
CLINT FULKS, INC.
Active
Parent organization
CLINT FULKS, INC.
Other names
Fulks Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CLINT FULKS, INC.
Authorized official
DR. CLINT ALLEN FULKS DDS (OWNER)
(501) 350-4564
Entity
Organization
Contact information
Practice address
1200 FERGUSON DR, SUITE 4, BENTON, AR 72015-3503
(501) 778-9222
(501) 778-9223
Mailing address
3316 HIGHWAY 5 N, SUITE 1, BRYANT, AR 72019-9031
(501) 847-6453
(501) 847-6460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3521
AR
Other
Enumeration date
12/11/2008
Last updated
06/01/2023
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