Deborah L Fuller in N Providence - Dentist

Deborah L Fuller - NPI 1578748125

Deborah L Fuller is a Dentist in N Providence, Rhode Island. Deborah L Fuller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Deborah L Fuller is 1578748125. The last update date is 2008-01-02.

Deborah L Fuller's current location address is 200 High Service Ave, N Providence, Rhode Island. You can contact this provider via phone number 4014563309 and fax number 4014563762. The mailing address for Deborah L Fuller is 200 High Service Ave, N Providence, Rhode Island. To know further, please read the information below!

Provider Profile Detail

Provider Name Deborah L Fuller
Address 200 High Service Ave, N Providence, Rhode Island
Phone Number 4014563309
Fax Number 4014563762
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1578748125
Provider Enumeration Date 2008-01-02
Last Updated Date 2008-01-02

Provider Mailing Address Detail

Address 200 High Service Ave
City N Providence
State Rhode Island (RI)
Post Code 29045113
Phone Number 4014563309
Fax Number 4014563762

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No DEN02817
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DEN02817 RI LICENSE

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FAQs about Deborah L Fuller

What is the unique 10-digit identification code issued to Deborah L Fuller by the Centers for Medicare & Medicaid Services?

The Deborah L Fuller has been assigned the NPI (National Provider Identifier) 1578748125 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please provide the complete street address where Deborah L Fuller is physically located?

The Deborah L Fuller is physically situated at the following address: 200 High Service Ave, N Providence, RI, 29045113.

What is Deborah L Fuller's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Deborah L Fuller's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When did Deborah L Fuller receive its 1578748125 assignment?

The Deborah L Fuller was assigned its 1578748125 on 2008-01-02, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Deborah L Fuller, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Deborah L Fuller, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-01-02.

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