Fulkerson, Brad Lyle

Fulkerson, Brad Lyle is an individual health care provider with primary practice located at 41 Sparhawk St , Amesbury MA 01913. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Fulkerson, Brad Lyle can be contacted via phone (978) 388-3505.

Contact Information

Primary practice address
41 Sparhawk St Amesbury MA 01913
Phone: (978) 388-3505
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 21905 Massachusetts
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X DN21905 Massachusetts

Profile Details

NPI number 1700094158
LBN Legal business name Fulkerson, Brad Lyle
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jun 8th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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