Leslie Fullerton in Conroe - Orthodontics And Dentofacial Orthopedics

Leslie Fullerton - NPI 1437311909

Leslie Fullerton is a Orthodontics And Dentofacial Orthopedics in Conroe, Texas. Leslie Fullerton practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Leslie Fullerton is 1437311909. The last update date is 2008-06-26.

Leslie Fullerton's current location address is 2255 N Loop 336 W Ste D, Conroe, Texas. You can contact this provider via phone number 9367561951. The mailing address for Leslie Fullerton is 2255 N Loop 336 W Ste D, Conroe, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Leslie Fullerton
Address 2255 N Loop 336 W Ste D, Conroe, Texas
Phone Number 9367561951
Fax Number
Sole Proprietor N
Credentials D.D.S.

NPI Number Detail

NPI Number 1437311909
Provider Enumeration Date 2008-06-26
Last Updated Date 2008-06-26

Provider Mailing Address Detail

Address 2255 N Loop 336 W Ste D
City Conroe
State Texas (TX)
Post Code 773043632
Phone Number 9367561951
Fax Number

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 19458
Definition:
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel

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FAQs about Leslie Fullerton

What is the Leslie Fullerton's 1437311909?

The Leslie Fullerton's NPI (National Provider Identifier) Number is 1437311909. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Leslie Fullerton's facilities are geographically located?

The facilities of Leslie Fullerton are physically situated at the following location: 2255 N Loop 336 W Ste D, Conroe, TX, 773043632.

What is Leslie Fullerton's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Leslie Fullerton is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy classification code for this specialized field is 1223X0400X.

On what date did Leslie Fullerton receive its 1437311909 assignment from the Centers for Medicare & Medicaid Services?

The Leslie Fullerton was assigned its 1437311909 on 2008-06-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Leslie Fullerton most recently updated or revised?

The information pertaining to Leslie Fullerton, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-26.

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