OrganizationActive
Clint Fulks, Inc.
NPI 1467697003 · General Practice Dentistry · Benton, AR
Clint Fulks, Inc. is a General Practice Dentistry organization in Benton, AR (NPI 1467697003).
Provider details
- NPI number
- 1467697003
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Parent organization
- Clint Fulks, Inc.
- Organization subpart
- Yes
- Authorized official
- Clint Fulks, Owner(501) 350-4564
- License
- 3521 (AR)
Practice location
1200 Ferguson Dr
Suite 4
Benton, AR 72015-3503
Phone: (501) 778-9222
Fax: (501) 778-9223
Street-level locationGet directions
Mailing address
3316 Highway 5 N
Bryant, AR 72019-9031
Registry dates
- Enumerated
- 2008-12-11
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.