Search › Pennsylvania › 122300000X
Charles Fullem, D.M.D
NPI 1154706380 · on the registry since 2015
Practice
- Address
- 2250 Millennium Way Ste 101
Enola, PA 17025 - Phone
- (717) 972-0031
- Clinicians at this address
- 9
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Also registered as
- 122300000X
- Licence states on file
- MO, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania