| NPI | 1366936783 |
|---|---|
| Doing Business As | AMESBURY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | BRAD LYLE FULKERSON Dentist / Owner 978-388-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: MA DN21905) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2024-07-02 |