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Michael Fulton, D.D.S
NPI 1497820922 · on the registry since 2006
Practice
- Address
- 2102 W Randolph St
Vandalia, IL 62471 - Phone
- (618) 283-4900
- Organisation at this address
- Dynamic Dental Group, P.C.
2102 Randolph Vandalia Professional, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 5
Registry record
- Primary taxonomy
- General Practice Dentistry
1223G0001X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
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 Illinois