Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHARLES MICHAEL FULLEM, D.M.D.
ActiveCHARLES MICHAEL FULLEM, D.M.D. is a Dentist healthcare provider located in ENOLA, Pennsylvania. NPI 1154706380 is currently active in the NPPES registry. Verify at CMS.
Dentist · ENOLA, PA
Registration Details
- NPI Number
- 1154706380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 29, 2015 (11.086103579727 yrs)
- Last Updated
- Aug 28, 2023
- Licenses
-
2015022255 (MO)DS040673 (PA)
Practice Information
- Address
-
2250 MILLENNIUM WAY STE 101ENOLA, PA, 170251488Browse PA providers · Browse ZIP 17025
- Phone
- 7179720031
- Primary Specialty
-
Dentist
122300000X
- Additional Specialty
- Dentist
Other Dentist Providers in ENOLA, PA
| Name | Credential | NPI |
|---|---|---|
| DR. SALEH AHMED MALIK | DMD | 1023163987 |
| DR. KHALIDA N STANAZAI | DDS | 1215590690 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.