Dr. James Charles Fulmer, D.D.S.
Dentist, General Practice in Salem, WI. Individual provider (NPI-1).
NPI number1982804134
StatusActive
Last updated in NPPESSep 19, 2011
Details
- NPI
- 1982804134
- Entity type
- Individual (NPI-1)
- Name
- Dr. James Charles Fulmer
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 24, 2007
- Last updated
- Sep 19, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 3667 | WI | Yes |
Practice location
7137 236th AvenueSuite 108
Salem, WI 53168-8808
Phone 262-843-4643
Mailing address
7137 236th AvenueSuite 108
Salem, WI 53168-8808
Phone 262-843-4643
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