FULTON DENTAL ASSOCIATES PC
NPI 1154590040
Dentist in Fulton, IL

Active since February 25, 2008
1130 17TH ST, FULTON, IL 61252(815) 589-4007(815) 589-4897 Get Directions Write a Review

NPPES record last updated: September 23, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fulton Dental Associates Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULTON DENTAL ASSOCIATES PC (NPI 1154590040) is a healthcare organization registered as a dentist in Fulton, Illinois and active in the NPI registry since February 2008. The organization lists William Michael Wilkin, Owner, as its authorized official.

NPPES Registry Identity

NPI1154590040
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameFULTON DENTAL ASSOCIATES PC
Location Address1130 17TH STFulton, IL 61252-2008
Mailing Address1130 17th StFulton, IL 61252-2008 · (815) 589-4007 · Fax (815) 589-4897
Fax(815) 589-4897
Organization SubpartNo
Authorized OfficialWilliam Michael WilkinOwner · (815) 589-4007
Enumeration DateFebruary 25, 2008
Last NPPES UpdateSeptember 23, 2008
NPI 1154590040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
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.
1130 17TH ST, Fulton, IL 61252

Other Identifiers 2

Medicaid1004190IL
Medicaid1004473IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
1130 17TH ST
FULTON, IL 61252
Dentist (General Practice)
1130 17TH ST
FULTON, IL 61252
Dentist (General Practice)
1130 17TH ST
FULTON, IL 61252

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fulton Dental Associates PC's NPI number?

The NPI number for Fulton Dental Associates PC is 1154590040. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is Fulton Dental Associates PC located?

Fulton Dental Associates PC is located at 1130 17th St, Fulton, IL 61252. The listed phone number is (815) 589-4007.

What is Fulton Dental Associates PC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Fulton Dental Associates PC was last updated on September 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.