Organization
FULP FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ROBISON FULP D.M.D. (PRESIDENT)
(229) 386-4832
Entity
Organization
Contact information
Practice address
215 MAGNOLIA DR N, TIFTON, GA 31794-4217
(229) 382-7996
(229) 386-4832
Mailing address
215 MAGNOLIA DR N, TIFTON, GA 31794-4217
(229) 382-7996
(229) 386-4832
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN013912
GA
Other
Enumeration date
06/16/2009
Last updated
10/18/2011
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