Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IMANI JOY FULLER
ActiveIMANI JOY FULLER is a Pediatric Dentistry healthcare provider located in TAKOMA PARK, Maryland. NPI 1801567144 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · TAKOMA PARK, MD
Registration Details
- NPI Number
- 1801567144
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2021 (4.9213921094835 yrs)
- Last Updated
- Feb 20, 2026
- License
-
17689 (MD)
Practice Information
- Address
-
1107 SLIGO CREEK PKWYTAKOMA PARK, MD, 209125806Browse MD providers · Browse ZIP 20912
- Phone
- 3018917760
- Primary Specialty
-
Pediatric Dentistry
1223P0221X
Other Pediatric Dentistry Providers in TAKOMA PARK, MD
| Name | Credential | NPI |
|---|---|---|
| DR. JOSEPH BRUCE LATTA | DDS | 1700943701 |
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.