| Charles Michael Fullem, DMD | |
|
2250 Millennium Way Ste 101, Enola, PA 17025-1488 | |
| (717) 972-0031 | |
| Not Available |
| Full Name | Charles Michael Fullem |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 2250 Millennium Way Ste 101, Enola, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154706380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2015022255 (Missouri) | Secondary |
| 122300000X | Dentist | DS040673 (Pennsylvania) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Charles Michael Fullem, DMD 2250 Millennium Way Ste 101, Enola, PA 17025-1488 Ph: (717) 972-0031 | Charles Michael Fullem, DMD 2250 Millennium Way Ste 101, Enola, PA 17025-1488 Ph: (717) 972-0031 |
Dr. Saleh Ahmed Malik, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 N Enola Rd, Enola, PA 17025 Phone: 717-732-2550 Fax: 717-732-2275 | |
Dr. Regina Maria Aslanian, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 350 E Penn Dr, Enola, PA 17025 Phone: 717-763-7593 Fax: 717-909-9793 | |
Dr. Scott David Trask, DMD Dentist Medicare: Medicare Enrolled Practice Location: 350 E Penn Dr, Enola, PA 17025 Phone: 717-763-7593 Fax: 717-909-9793 | |
Dr. Khalida N Stanazai, DDS Dentist Medicare: Medicare Enrolled Practice Location: 2250 Millennium Way Ste 101, Enola, PA 17025 Phone: 717-972-0031 | |
Dr. Mark G Cherewka, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 525 N Enola Rd, Enola, PA 17025 Phone: 717-732-2550 Fax: 717-732-2275 |