Charles Michael Fullem, DMD
Charles Michael Fullem, DMD is a Dentist in Enola, Pennsylvania. Licensed in Missouri and Pennsylvania. Registered with an NPI since 2015.
- Licensed in
- MO, PA
- In the registry since
- 2015
- Specialties on file
- 2
What do these letters mean?
- DMD — Doctor of Dental Medicine
- A dentist. Identical training and licensing to a DDS.
Practice location Address checks out
2250 Millennium Way Ste 101Enola, PA 17025-1488
Phone: (717) 972-0031
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence DS040673 (PA) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 2015022255 (MO) |
Record details
| NPI number | 1154706380 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | DMD |
| Sole proprietor | No |
| NPI enumerated | July 29, 2015 |
| Last updated in NPPES | August 28, 2023 |
| Certification date | August 28, 2023 |
| Mailing address | 2250 Millennium Way Ste 101, Enola, PA 17025-1488 |
Other providers in Enola
-
Dr. Saleh Ahmed Malik, DMD
525 N Enola Rd, Enola, PA 17025-2129 · (717) 732-2550
-
Dr. Khalida N Stanazai, DDS
2250 Millennium Way Ste 101, Enola, PA 17025-1488 · (717) 972-0031