MEDICARE: DR. ALAN K FULKS D.D.S., M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	10791	MI

General Provider Information

NPI Number	:	1730101064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALAN K FULKS D.D.S., M.S.

Provider Business Mailing Address
First Line	:	405 NORTH BLVD
Second Line	:
City	:	KINGSFORD
State	:	MI
Zip	:	49802-4413
Country	:	US
Telephone Number	:	906-774-8490
Fax Number	:	906-774-4990

Provider Business Practice Location Address
First Line	:	405 NORTH BLVD
Second Line	:
City	:	KINGSFORD
State	:	MI
Zip	:	49802-4413
Country	:	US
Telephone Number	:	906-774-8490
Fax Number	:	906-774-4990

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1306776661 — CHELSEY GOAD
Practice Location Address:

715 PYLE DR
KINGSFORD, MI
49802-4456

Practice Phone: 906-774-0522
Practice Fax:

1265362552 — SHAELA MORIN
Practice Location Address:

715 PYLE DR
KINGSFORD, MI
49802-4456

Practice Phone: 906-774-0522
Practice Fax:

1568460939 — ATRIUM FREEMAN LLC
Practice Location Address:

1805 W PYLE DR
KINGSFORD, MI
49802-4258

Practice Phone: 906-774-1530
Practice Fax: 906-774-4971

1780678318 — DR. PATTI LYNN PETERSON M.D.
Practice Location Address:

1205 PYLE DR
KINGSFORD, MI
49802-1132

Practice Phone: 906-779-7100
Practice Fax: 906-779-7101

1477548311 — DR. NILAR SHEIN M.D.
Practice Location Address:

1205 PYLE DR
KINGSFORD, MI
49802-1132

Practice Phone: 906-779-7100
Practice Fax: 906-779-7101

1073596508 — DR. JENEEN M MARTIN DDS
Practice Location Address:

333 S CARPENTER AVE
KINGSFORD, MI
49802-4524

Practice Phone: 906-774-2505
Practice Fax:

Directions to “ DR. ALAN K FULKS D.D.S., M.S.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.