Doctor profile · Federal record
Dr. CHARLES FULLEM, D.M.D.
Dentist · Dentist · ENOLA, PA
- NPI 1154706380
- 11 yrs on file
- Licensed in 2 states
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2250 MILLENNIUM WAY STE 101
ENOLA, PA 170251488
(717) 972-0031
Credentials & registration
- NPI registered
- July 2015 — 11 yrs on file
- Profile last updated
- August 28, 2023
- Specialty taxonomy
- 122300000X — NUCC code
- State licenses (2)
- Pennsylvania #DS040673 · Missouri #2015022255
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1154706380. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$176
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Shofu Dental Corp | 1 | $152.14 | |
| Align Technology, Inc. | 1 | $23.58 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
415
Patients
339
Total drug cost
$1,425
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Chlorhexidine Gluconate | Generic | 148 | 128 | $677 |
| Amoxicillin | Generic | 127 | 90 | $458 |
| Ibuprofen | Generic | 124 | 106 | $242 |
| Azithromycin | Generic | 16 | 15 | $47 |