OrganizationActive
Brad T Fulkerson, Dmd,msd,llc
NPI 1730457763 · Pediatric Dentistry · Henderson, KY
Provider details
- NPI number
- 1730457763
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Authorized official
- Brad Fulkerson, Owner
- License
- 12009862 (IN)
Practice location
700a Barrett Blvd
Henderson, KY 42420-4931
Phone: (270) 827-5522
Fax: (270) 827-8272
Mailing address
700a Barrett Blvd
Henderson, KY 42420-4931
Registry dates
- Enumerated
- 2011-12-05
- Last updated
- 2011-12-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.