DR. CLAYTON MATTHEW FULKS (NPI# 1457594038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457594038 |
| Entity Type | Individual |
| Full Name | DR. CLAYTON MATTHEW FULKS |
| Credential | DMD |
| Practice Address |
118 Maple Row Blvd Ste B Hendersonville TN 37075-3824 |
| Practice Telephone | 6158248929 |
| Practice Fax Number | 6158223330 |
| Mailing Telephone | 6158248929 |
| Enumeration Date | 2009-04-13 |
| Last Update Date | 2018-10-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DS0000009092 | TN | Dental Providers |
| Street Address |
118 MAPLE ROW BLVD STE B |
| City | HENDERSONVILLE |
| State | TN |
| Zip Code | 37075-3824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174007389 | Cayce Connolly Cloud | Dentist | 118 Maple Row Blvd Ste B, Hendersonville, TN 37075-3824 | 2018-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667425 | Results-ast Jv, LLC | Physical Therapist | 326 New Shackle Island Rd, Suite 300, Hendersonville, TN 37075 | 2020-10-21 |
| 1871126524 | Jessica Elise Williams | Nurse Practitioner | 100 Indian Lake Blvd, Hendersonville, TN 37075 | 2020-02-20 |
| 1003379108 | Infusion Express of Tennessee, PC | Clinic/Center | 1006 Glenbrook Way, Ste 130, Hendersonville, TN 37075 | 2019-04-08 |
| 1417414335 | Red Owl Industries, LLC | Chiropractor | 16 Executive Park Dr # 100, Hendersonville, TN 37075 | 2019-02-27 |
| 1992203368 | Cassie Berman | Occupational Therapist | 209 Shivel Drive, Hendersonville, TN 37075 | 2018-01-31 |
| 1407379373 | Hendersonville Smiles Dentistry, PC | Dentist | 1002 Glenbrook Way, Suite 200, Hendersonville, TN 37075 | 2017-07-21 |
| 1215483466 | Ryan Escue | Registered Nurse | 4221 Harding Pike, Nashville, TN 37075 | 2016-08-28 |
| 1003279589 | Grant Anderson | Physician Assistant | 211 Indian Lake Bloulevard, Hendersonville, TN 37075 | 2016-04-01 |
| 1073974192 | Jennifer Kramer | Nurse Practitioner | 103 Hazel Path Ct, Suite 7, Hendersonville, TN 37075 | 2016-03-16 |
| 1144680315 | Catherine Alexandria Wellendorf | Specialist/Technologist | 3126 Long Hollow Pike, Hendersonville, TN 37075 | 2016-03-02 |
| Find all providers in zip 37075 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457898900 | Mary E Hearn | Dentist | 173 Ruland Cir, Hendersonville, TN 37075-4617 | 2017-01-23 |
| 1912078569 | Carl Steven Edney | Dentist | 689 Blythe Street Court, Hendersonville, NC 28739 | 2006-11-13 |
| 1881776979 | Joe H. Farrar, Dmd Pa | Dentist | 1714 Old Village Rd, Hendersonville, NC 28791-3771 | 2006-10-19 |
| 1174007389 | Cayce Connolly Cloud | Dentist | 118 Maple Row Blvd Ste B, Hendersonville, TN 37075-3824 | 2018-09-24 |
| 1740533629 | Gary D. Cohen, Dds PC | Dentist | 100 Springhouse Ct, Suite #200, Hendersonville, TN 37075-1609 | 2012-10-17 |
| 1730334251 | Frank Marlin Grimes | Dentist | 177 W Main St, Hendersonville, TN 37075-3304 | 2008-11-25 |
| 1902073224 | James Richard Morris Jr. | Dentist | 711 E Main St, Suite #110, Hendersonville, TN 37075-2740 | 2008-05-15 |
| 1538346333 | C. Steve Edney, Dds, Ms, Pa | Dentist | 689 Blythe Street Ct, Hendersonville, NC 28739-4098 | 2008-01-24 |
| 1871796771 | Joe H. Farrar | Dentist | 1714 Old Village Rd, Hendersonville, NC 28791-3771 | 2007-06-07 |
| 1639386501 | T Koen Orthodontics Pllc | Dentist | 131 Indian Lake Blvd, Suite 202, Hendersonville, TN 37075-6210 | 2007-05-17 |
| Find all providers in HENDERSONVILLE | ||||
| City | HENDERSONVILLE |
| Zip Code | 37075 |
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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.