Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IAN FULLER, DDS
Active Sole ProprietorIAN FULLER, DDS is a General Dentistry healthcare provider located in ALAMEDA, California. NPI 1457078677 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · ALAMEDA, CA
Registration Details
- NPI Number
- 1457078677
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 27, 2022 (3.8037284591417 yrs)
- Last Updated
- Jan 8, 2025
- License
-
DDS108278 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2241 CENTRAL AVE STE BALAMEDA, CA, 945014430Browse CA providers · Browse ZIP 94501
- Phone
- 5108654400
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in ALAMEDA, CA
| Name | Credential | NPI |
|---|---|---|
| RICHARD HUGH TABOR JR. | DDS | 1942206974 |
| DR. HELENA CABALLERO | DDS | 1447256409 |
| DR. BRETT THOMAS ROULEAU | D.D.S. | 1467452334 |
| DR. DAVID KEITH JALEN | D.D.S. | 1508866484 |
| DR. CARLA S DODGE | DDS | 1700886249 |
| DR. ERIC K. SCHMIDT | D.D.S. | 1568456663 |
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.