Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. ELLIS LAMAR FULLER, D.D.S
ActiveDR. ELLIS LAMAR FULLER, D.D.S is a Dentist healthcare provider located in LAKE MARY, Florida. NPI 1366466286 is currently active in the NPPES registry. Verify at CMS.
Dentist · LAKE MARY, FL
Registration Details
- NPI Number
- 1366466286
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 26, 2006 (20.095138293501 yrs)
- Last Updated
- Jun 26, 2012
- License
-
DN15405 (FL)
Practice Information
- Address
-
114 TIMBERLACHEN CIRLAKE MARY, FL, 327463395Browse FL providers · Browse ZIP 32746
- Phone
- 4073303801
- Fax
- 4073305739
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in LAKE MARY, FL
| Name | Credential | NPI |
|---|---|---|
| CEASAR M GARCIA | DMD | 1922017367 |
| DR. JAMES P FLATLEY | DDS | 1093724205 |
| DR. LUIS A. ESPINET | D.M.D. | 1104921972 |
| PATRICIA NINO DE GUZMAN ROACH | DDS | 1558467530 |
| DR. EFFIE C YAO | D.D.S. | 1023106333 |
| DR. TIMOTHY TIRALOSI | D.M.D. | 1144437831 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.