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MICHAEL T. FULBRIGHT DDS A PROFESSIONAL CORPORATION NPI 1669869087


NPI Information

NPI: 1669869087
Provider Name: MICHAEL T. FULBRIGHT DDS A PROFESSIONAL CORPORATION
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1815 VIA EL PRADO
#200
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 316-4477
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MICHAEL T. FULBRIGHT DDS A PROFESSIONAL CORPORATION is a dentist in Redondo Beach, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. MICHAEL T. FULBRIGHT DDS A PROFESSIONAL CORPORATION NPI is 1669869087. The provider is registered as an organization entity type.

The provider's business location address is:

1815 VIA EL PRADO
#200
REDONDO BEACH, CA
ZIP 90277-722
Phone: (310) 316-4477

The provider's authorized official is Michael Fulbright .
The authorized official title is President/owner and has the following contact phone number (310) 316-4477.

The enumeration date for this NPI number is 4/23/2015 and was last updated on 10/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2122300000XDentist47892CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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