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FULKS FAMILY DENTISTRY
NPI 1467697003
Dentist - General Practice in Benton, AR

Active since December 11, 2008
1200 FERGUSON DR, SUITE 4, BENTON, AR 72015(501) 778-9222(501) 778-9223 Get Directions Write a Review

NPPES record last updated: June 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fulks Family Dentistry NPPES

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

FULKS FAMILY DENTISTRY (NPI 1467697003) is a healthcare organization registered as a general practice in Benton, Arkansas and active in the NPI registry since December 2008. The organization lists Clint Allen Fulks, Owner, as its authorized official.

NPPES Registry Identity

NPI1467697003
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCLINT FULKS, INC.
Location Address1200 FERGUSON DR, SUITE 4Benton, AR 72015-3503
Mailing Address3316 Highway 5 N, Suite 1Bryant, AR 72019-9031 · (501) 847-6453 · Fax (501) 847-6460
Phone(501) 778-9222
Fax(501) 778-9223
Organization SubpartYes
Authorized OfficialClint Allen FulksOwner · (501) 350-4564
Enumeration DateDecember 11, 2008
Last NPPES UpdateJune 1, 2023
NPPES CertifiedJune 1, 2023
✔ NPI 1467697003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AR · 3521
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1200 FERGUSON DR, Benton, AR 72015
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Other Names 1

Doing Business AsFulks Family Dentistry

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.

SALINE FAMILY DENTAL
Clinic/Center (Dental)
1200 FERGUSON DR
BENTON, AR 72015
Saline County (501) 778-7129
RON ROSNERMANZ DC PLLC
Chiropractor
1200 FERGUSON DR, SUITE 2
BENTON, AR 72015
Saline County (501) 315-3310
DR. RON ROSNERMANZ D.C. PLLC
Chiropractor
1200 FERGUSON DR, SUITE 2
BENTON, AR 72015
Saline County (501) 315-3310

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 Clint Fulks, Inc.'s NPI number?

The NPI number for Clint Fulks, Inc. is 1467697003. It was assigned to this organization in the NPPES registry on December 11, 2008. The provider is doing business as Fulks Family Dentistry.

Where is Clint Fulks, Inc. located?

Clint Fulks, Inc. is located at 1200 Ferguson Dr Suite 4, Benton, AR 72015. The listed phone number is (501) 778-9222.

What is Clint Fulks, Inc.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Clint Fulks, Inc. was last updated on June 1, 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.