| Joshua Fulton Dentistry | |
|
7897 Broad River Rd Irmo SC 29063-2357 | |
| (803) 781-2439 | |
| Not Available |
| Full Name | Joshua Fulton Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7897 Broad River Rd, Irmo, South Carolina |
| Authorized Official Name and Position | Joshua Clarence Fulton (OWNER/DENTIST) |
| Authorized Official Contact | 8037812439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Fulton Dentistry Po Box 1077 Irmo SC 29063-1077 Ph: () - | Joshua Fulton Dentistry 7897 Broad River Rd Irmo SC 29063-2357 Ph: (803) 781-2439 |
| NPI Number | 1578107405 |
|---|---|
| Provider Enumeration Date | 11/04/2019 |
| Last Update Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578107405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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William A. Burn, Iii, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7897 Broad River Road, Irmo, SC 29063 Phone: 803-781-2439 Fax: 803-781-2601 |