FAMILY & RESTORATIVE DENTISTRY (NPI# 1497276729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497276729 |
| Entity Type | Organization |
| Organization Name | FAMILY & RESTORATIVE DENTISTRY |
| Other Organization Name | FULMER DENTISTRY |
| Practice Address |
7137 236th Ave Ste 108 Salem WI 53168-8975 |
| Practice Telephone | 2628434643 |
| Mailing Telephone | 2628434643 |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | DR. JAMES C FULMER (DENTIST) |
| Authorized Official Telephone | 2629452084 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
3667 | WI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Fulmer Dentistry | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2909 Roosevelt Rd, Kenosha, WI 531434641 | 2626575408 |
| Street Address |
7137 236TH AVE STE 108 |
| City | SALEM |
| State | WI |
| Zip Code | 53168-8975 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336752062 | Kimberly Lawrence | Occupational Therapist | 25025 75th St, Salem, WI 53168 | 2020-08-24 |
| 1811557457 | Chadi Farag | Dentist | 25620 75th Street, Salem, WI 53168 | 2019-06-17 |
| 1659708261 | Lisa Marie Looney | Registered Nurse | 5104 294th Ave., Salem, WI 53168 | 2013-09-27 |
| 1720267693 | Central High School District of Westosha | Local Education Agency (LEA) | 24617 75th St, Salem, WI 53168 | 2007-10-29 |
| 1003973108 | Toby Jayne Hawkes | Chiropractor | 24706 75th St., Suite 200, Paddock Lake, WI 53168 | 2007-01-02 |
| 1336171339 | Aurora Pharmacy Inc | Pharmacy | 25320 75th St, Paddock Lake, WI 53168 | 2006-07-07 |
| 1063894723 | Southport Cardiovascular Surgeons LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7137 236th Avenue, #103, Paddock Lake, WI 53168 | 2015-06-18 |
| 1699704296 | Michelle Lynn Baumeister | Occupational Therapy Assistant | 25250 75th St, Paddock Lake, WI 53168 | 2006-07-03 |
| 1710930961 | Paul Norman Schmidt | Physical Therapist | 25250 75th St, Salem, WI 53168-8705 | 2006-05-18 |
| 1073158937 | Kassandra R Kanaga | Occupational Therapist | 25250 75th St, Salem, WI 53168-8705 | 2019-11-14 |
| Find all providers in zip 53168 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427533637 | Paul K Shivers Dds | Clinic/Center | 2951 St Rt 45 S, Salem, OH 44460-9465 | 2018-10-03 |
| 1437669967 | Salem Family Dental, LLC | Clinic/Center | 100 N Harrison St, Salem, IN 47167-1426 | 2017-10-11 |
| 1063936458 | Hallmark Dental Salem LLC | Clinic/Center | 260 Essex St, Salem, MA 01970-3434 | 2017-07-27 |
| 1457759425 | Hulse Dentisry LLC | Clinic/Center | 601 N State Road 198, Salem, UT 84653-4504 | 2014-12-08 |
| 1720338668 | Healthy Smiles Family Dental | Clinic/Center | 2601 25th St Se Ste 400, Salem, OR 97302-1284 | 2012-09-18 |
| 1275894867 | Ous Oregon Institute of Technology | Clinic/Center | 4000 Lancaster Drive Ne, Dental Hygiene 8/ 101, Salem, OR 97305 | 2012-05-31 |
| 1366700791 | Neighborhood Pediatric Dentistry, LLC | Clinic/Center | 1109 Liberty Cir S, Salem, OR 97306-2435 | 2012-04-23 |
| 1679839120 | Stiles Family Dentistry, P.C. | Clinic/Center | 32 Stiles Rd Ste 205, Salem, NH 03079-2893 | 2012-04-10 |
| 1477666535 | Dental Health Group, Terrence P. Flinn, D.d.s., Ted A Schuster, D.d.s. | Clinic/Center | 1410 E State St, Salem, OH 44460-2329 | 2006-08-15 |
| 1912516428 | Yerkey and Madjarac Dds Inc. | Clinic/Center | 2940 State Route 45 S, Salem, OH 44460-9465 | 2020-07-30 |
| Find all providers in SALEM | ||||
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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.