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FULTON PEDIATRIC DENTAL
NPI 1295487155
Dentist - Pediatric Dentistry in Fulton, MD

Active since January 21, 2022
11810 W MARKET PL STE 202, FULTON, MD 20759(410) 988-4647(410) 696-4927 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 2, 2023, Jan 21, 2022 (2 updates tracked since 2022).

About Fulton Pediatric Dental NPPES

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

FULTON PEDIATRIC DENTAL (NPI 1295487155) is a healthcare organization registered as a pediatric dentistry in Fulton, Maryland and active in the NPI registry since January 2022. The organization lists Gal Hershko, Owner, as its authorized official.

NPPES Registry Identity

NPI1295487155
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameFULTON PEDIATRIC DENTAL
Location Address11810 W MARKET PL STE 202Fulton, MD 20759-2703
Mailing Address8120 Westside BlvdFulton, MD 20759-2587 · (410) 726-2548
Phone(410) 988-4647
Fax(410) 696-4927
Organization SubpartNo
Authorized OfficialGal HershkoOwner · (410) 726-2548
Enumeration DateJanuary 21, 2022
Last NPPES UpdateMarch 2, 20232 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
✔ NPI 1295487155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
11810 W MARKET PL STE 202, Fulton, MD 20759
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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

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

DR. GAL HERSHKO D.D.S.
Dentist (Pediatric Dentistry)
11810 W MARKET PL STE 202
FULTON, MD 20759
Howard County (667) 678-3940

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 Pediatric Dental's NPI number?

The NPI number for Fulton Pediatric Dental is 1295487155. It was assigned to this organization in the NPPES registry on January 21, 2022.

Where is Fulton Pediatric Dental located?

Fulton Pediatric Dental is located at 11810 W Market Pl Ste 202, Fulton, MD 20759. The listed phone number is (410) 988-4647.

What is Fulton Pediatric Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Fulton Pediatric Dental was last updated on March 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.