Individual
DR. MARK FULTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3482 STATE ROAD 9 NORTH, ANDERSON, IN 46012
(765) 642-1612
(765) 642-9227
Mailing address
3482 N STATE ROAD 9, ANDERSON, IN 46012-1240
(765) 621-3127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12008901
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100172500
—
IN
Enumeration date
07/20/2006
Last updated
12/15/2025
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