DR. GEORGE FULTON JR. (NPI# 1235285560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235285560 |
| Entity Type | Individual |
| Full Name | DR. GEORGE FULTON JR. |
| Credential | DDS |
| Practice Address |
730 Brookdale Dr Statesville NC 28677-3406 |
| Mailing Address |
3721 Morris Farm Dr Suite 3c Greensboro NC 27409-8998 |
| Practice Telephone | 9802531025 |
| Enumeration Date | 2007-01-27 |
| Last Update Date | 2012-06-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 8092 | NC | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5903845 | 05 |
| Street Address |
730 BROOKDALE DR |
| City | STATESVILLE |
| State | NC |
| Zip Code | 28677-3406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841757507 | Hammock, Dmd & Lotakis, Dds V, Pllc | Dentist | 730 Brookdale Dr, Statesville, NC 28677-3406 | 2019-02-28 |
| 1528260767 | John Walsh Dds Pa | Dentist | 730 Brookdale Dr, Statesville, NC 28677-3406 | 2007-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472311 | Crystal Medley Hopkins | Nurse Practitioner | 105 Summer Breeze Court, Statesville, NC 28677 | 2020-03-21 |
| 1922634484 | Tracey Holton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Easterseals Ucp, 913 Carolina Ave N, Statesville, NC 28677 | 2020-03-17 |
| 1962069286 | Leap Child & Family Services LLC | Developmental Therapist | 119 North Tradd Street, Statesville, NC 28677 | 2019-05-22 |
| 1831604891 | Ingles Markets Inc | Pharmacy | 722 Sullivan Rd, Statesville, NC 28677 | 2017-12-12 |
| 1235663162 | Sandra Lorraine Scalese | Physical Therapy Assistant | 520 Valley Street, Brian Center Health and Rehabilitation, Statesville, NC 28677 | 2017-04-18 |
| 1437698891 | Sherry Blevins Hager | Pharmacist | 722 Sullivan Road, Statesville, NC 28677 | 2017-02-17 |
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1659782449 | Easter Seals Ucp | Community/Behavioral Health | 913 Carolina Ave, Statesville, NC 28677 | 2014-05-14 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1215215876 | Silhouette Enterprises | Prosthetic/Orthotic Supplier | 909 Carolina Ave, Statesville, NC 28677 | 2011-08-01 |
| Find all providers in zip 28677 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063828507 | Susan Marie S Sheffield | Dentist | 518 Brookdale Drive, Statesville, NC 28677 | 2014-07-04 |
| 1306268016 | Randall Scott Perry | Dentist | 1132 Davie Avenue, Statesville, NC 28677 | 2014-01-15 |
| 1871750745 | Gregory J. Kuchtjak, D.m.d., P.a. | Dentist | 933 N Carolina Ave, Statesville, NC 28677-3414 | 2008-05-19 |
| 1104098714 | George R. Rankin | Dentist | 734 Hartness Rd, Statesville, NC 28677-3425 | 2008-03-25 |
| 1932329984 | Gary Neil Gaither | Dentist | 131 North Mulberry Street, Statesville, NC 28677 | 2007-05-01 |
| 1679798383 | Christopher John Dirig | Dentist | 724 Bryant St, Statesville, NC 28677-4143 | 2007-04-16 |
| 1043385313 | George R Rankin | Dentist | 734 Hartness Road, Statesville, NC 28677 | 2006-11-22 |
| 1356410633 | Phillip Daniel Beaver | Dentist | 1209 Davie Ave, Statesville, NC 28677-3511 | 2006-11-08 |
| 1689780538 | Randy Joseph Holleman | Dentist | 310 N Center St, Statesville, NC 28677-4064 | 2006-08-22 |
| 1346894128 | Fayez Azir Khan | Dentist | 1318 Davie Ave Ste A, Statesville, NC 28677-3565 | 2019-07-30 |
| Find all providers in STATESVILLE | ||||
| City | STATESVILLE |
| Zip Code | 28677 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.