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DR. RODNEY BRENT FULTZ DMD DENTIST
NPI 1962559328
Dentist - General Practice in Louisville, KY

Active since January 05, 2007
1813 WEST BROADWAY, LOUISVILLE, KY 40203(502) 772-7531 Get Directions Write a Review

NPPES record last updated: February 9, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Rodney Brent Fultz Dmd Dentist NPPES

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

DR. RODNEY BRENT FULTZ DMD DENTIST (NPI 1962559328) is an individual general practice provider in Louisville, Kentucky, licensed in Kentucky (5242) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1962559328
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. RODNEY BRENT FULTZCredential: DMD DENTIST
Location Address1813 WEST BROADWAYLouisville, KY 40203-0000
Mailing Address6616 Dixie Hwy #1Florence, KY 41042-2166 · (859) 371-3950
Phone(502) 772-7531
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateFebruary 9, 2012
✔ NPI 1962559328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in KY · 5242
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.
1813 WEST BROADWAY, Louisville, KY 40203
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Other Identifiers 1

Medicaid6005242000KY

Other Providers at the Same Location NPPES

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

BROADWAY DENTAL PSC
Dentist
1813 WEST BROADWAY
LOUISVILLE, KY 40203
Jefferson County (502) 772-7531

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 Rodney Fultz's NPI number?

The NPI number for Rodney Fultz is 1962559328. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Rodney Fultz located?

Rodney Fultz practices at 1813 West Broadway, Louisville, KY 40203. The listed phone number is (502) 772-7531.

What is Rodney Fultz'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 Rodney Fultz was last updated on February 9, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.