| Fulmer Dentistry | |
|
7137 236th Ave Ste 108 Salem WI 53168-8975 | |
| (262) 843-4643 | |
| Not Available |
| Full Name | Fulmer Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7137 236th Ave Ste 108, Salem, Wisconsin |
| Authorized Official Name and Position | James C Fulmer (DENTIST) |
| Authorized Official Contact | 2629452084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulmer Dentistry 7137 236th Ave Ste 108 Salem WI 53168-8975 Ph: (262) 843-4643 | Fulmer Dentistry 7137 236th Ave Ste 108 Salem WI 53168-8975 Ph: (262) 843-4643 |
| NPI Number | 1497276729 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497276729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3667 (Wisconsin) | Primary |
Jeffrey L. Sorensen, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24418 75th St, Salem, WI 53168 Phone: 262-843-2004 | |
Jeffrey L Sorensen Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 24418 75th St, Salem, WI 53168 Phone: 262-843-2004 Fax: 262-843-2832 |