Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fulton Pediatric Dental

Organization Pediatric Dentistry · NPI 1295487155

Fulton Pediatric Dental is a Pediatric Dentistry in Fulton, Maryland. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

11810 W Market Pl Ste 202
Fulton, MD 20759-2703
Phone: (410) 988-4647
Fax: (410) 696-4927
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X

Record details

NPI number1295487155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gal Hershko — Owner · (410) 726-2548
NPI enumeratedJanuary 21, 2022
Last updated in NPPESMarch 2, 2023
Certification dateMarch 2, 2023
Mailing address8120 Westside Blvd, Fulton, MD 20759-2587

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