DR. CALVIN SCOTT FULLER (NPI# 1174744270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174744270 |
| Entity Type | Individual |
| Full Name | DR. CALVIN SCOTT FULLER |
| Credential | D.M.D. |
| Practice Address |
102 S. Sycamore St. 102 S. Sycamore St. Fremont NC 27830-8709 |
| Mailing Address |
Pobox668 102 South Sycamore St. Fremont NC 27830-8709 |
| Practice Telephone | 9192425500 |
| Practice Fax Number | 9192424000 |
| Mailing Telephone | 9192425500 |
| Mailing Fax Number | 9192424000 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
NC | Dental Providers |
| Street Address |
102 S. SYCAMORE ST. 102 S. SYCAMORE ST. |
| City | FREMONT |
| State | NC |
| Zip Code | 27830-8709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881724342 | Fremont Rest Center | Assisted Living Facility | 300 South Street, Fremont, NC 27830 | 2007-03-06 |
| 1275676561 | B & J Rest Villa | Assisted Living Facility | 305 South Vance Street, Fremont, NC 27830 | 2007-02-15 |
| 1407887862 | Jesse A Blackman, Md, Pa | Family Medicine | 109 S. Sycamore Street, Fremont, NC 27830 | 2006-07-05 |
| 1356484612 | B & J Rest Villa | Assisted Living Facility | 305 South Vance Street, Fremont, NC 27830 | 2007-02-15 |
| 1376757252 | House of Jabez LLC | Community Based Residential Treatment Facility, Mental Illness | 203 Dock Street, Fremont, NC 27830-0662 | 2007-05-09 |
| 1598384257 | Jessica Lynn Polk | Registered Nurse | 302 S Dock St, Fremont, NC 27830-2783 | 2020-04-13 |
| 1508243098 | Don Sin Dmd II Pa | Dentist | 102 S Sycamore St, Fremont, NC 27830-8709 | 2015-05-04 |
| 1992804587 | Joseph Ray Warren Jr. | Physician Assistant | 109 S Sycamore St, Fremont, NC 27830-8710 | 2006-09-21 |
| 1679718316 | Goshen Medical Center, Inc. | Clinic/Center | 109 S Sycamore St, Fremont, NC 27830-8710 | 2008-12-10 |
| 1093800328 | April Delyn Holland | Speech-Language Pathologist | 2092 Nc Highway 222 W, Fremont, NC 27830-9029 | 2006-10-03 |
| Find all providers in zip 27830 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275140881 | Bindi Satishkumar Patel | Dentist | 4261 Stevenson Blvd Apt 178, Fremont, CA 94538-2739 | 2020-09-28 |
| 1962057133 | Lais Mohammed Lodin | Dentist | 2895 Freeman Pl, Fremont, CA 94555-1413 | 2019-08-05 |
| 1730671736 | Justin J Shih | Dentist | 1895 Mowry Ave Ste 105, Fremont, CA 94538-1700 | 2018-06-05 |
| 1891298196 | Hergenrader Dental Rehab PC | Dentist | 3102 East Elk Lane, Fremont, NE 68025 | 2018-03-13 |
| 1588191738 | Rabia Qadir Memon | Dentist | 39355 California St Ste 100, Fremont, CA 94538-1447 | 2017-05-18 |
| 1376902155 | Priya Patel | Dentist | 4615 Rousillon Ave, Fremont, CA 94555 | 2016-02-22 |
| 1699134015 | Gentle Caring Dentistry of Fremont Ohio | Dentist | 2430 Enterprise St, Fremont, OH 43420 | 2016-02-12 |
| 1609246701 | Reginald Woo | Dentist | 4988 Paseo Padre Pkwy, 204, Fremont, CA 94555-3412 | 2015-10-01 |
| 1508243098 | Don Sin Dmd II Pa | Dentist | 102 S Sycamore St, Fremont, NC 27830-8709 | 2015-05-04 |
| 1134510654 | Nachiket J. Dave Dds, Inc | Dentist | 39489 Fremont Blvd., Fremont, CA 94438 | 2015-02-06 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.