| Fulp Family Dentistry, Llc | |
|
215 Magnolia Dr N Tifton GA 31794-4217 | |
| (229) 382-7996 | |
| (229) 386-4832 |
| Full Name | Fulp Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 215 Magnolia Dr N, Tifton, Georgia |
| Authorized Official Name and Position | Scott Robison Fulp (PRESIDENT) |
| Authorized Official Contact | 2293864832 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fulp Family Dentistry, Llc 215 Magnolia Dr N Tifton GA 31794-4217 Ph: (229) 382-7996 | Fulp Family Dentistry, Llc 215 Magnolia Dr N Tifton GA 31794-4217 Ph: (229) 382-7996 |
| NPI Number | 1669609830 |
|---|---|
| Provider Enumeration Date | 06/16/2009 |
| Last Update Date | 10/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669609830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DN013912 (Georgia) | Primary |
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Allen M. Vickers, Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 14th St E, Tifton, GA 31794 Phone: 229-382-0803 | |
Robert A Hill Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 North Magnolia Dr, Tifton, GA 31794 Phone: 229-382-7996 Fax: 229-386-4832 | |
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