Organization
MATT FULMER D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MATTHEW FULMER D.D.S. (PRESIDENT)
(501) 327-7778
Entity
Organization
Contact information
Practice address
562 LOCUST ST, CONWAY, AR 72034-5349
(501) 327-7778
(501) 327-1736
Mailing address
562 LOCUST ST, CONWAY, AR 72034-5349
(501) 327-7778
(501) 327-1736
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3582
AR
Other
Enumeration date
11/27/2012
Last updated
11/27/2012
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