FULLER & ASSOCIATES IV, P.A. (NPI# 1184254500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184254500 |
| Entity Type | Organization |
| Organization Name | FULLER & ASSOCIATES IV, P.A. |
| Practice Address |
3420 Ten-ten Road #310 Cary NC 27518-6101 |
| Mailing Address |
3450 Forestdale Dr Burlington NC 27215-9142 |
| Practice Telephone | 9193428509 |
| Mailing Telephone | 3362260855 |
| Mailing Fax Number | 3362260137 |
| Enumeration Date | 2020-01-24 |
| Last Update Date | 2020-01-24 |
| Authorized Official Name | CHAD RUMLEY (MANAGING DIRECTOR) |
| Authorized Official Telephone | 3362260855 |
| Authorized Official Credential | SPHR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Kildaire Family Dentistry | Doing Business As Name - Organization |
| Street Address |
3420 TEN-TEN ROAD #310 |
| City | CARY |
| State | NC |
| Zip Code | 27518-6101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1649761602 | Uday N Reebye, Md. Dmd, Pa | Dentist | 431 Keisler Dr Ste 101, Cary, NC 27518 | 2018-05-25 |
| 1164912093 | Cary Dental Rejuvenation | Dentist | 155 Parkway Office Court, Suite 104, Cary, NC 27518 | 2018-05-16 |
| 1104337021 | Kaylah Mckinley Black | Nurse Practitioner | 530 New Waverly Pl Ste 301, Cary, NC 27518 | 2017-10-18 |
| 1013442961 | Amber Pinsky | Occupational Therapist | 5310 Woodfield Lake Road, Cary, NC 27518 | 2017-04-28 |
| 1750733564 | Maureen Lyons Reardon | Psychologist | 2500 Regency Parkway, Cary, NC 27518 | 2016-07-05 |
| 1730539651 | Anna Liakh | Dentist | 8204 Tryon Woods Dr, Cary, NC 27518 | 2016-06-21 |
| 1609236173 | Matthew John Myschisin II | Chiropractor | 4312 Farm Brook Dr, Cary, NC 27518 | 2016-02-26 |
| 1003299405 | Amanda Lee Morris | Social Worker | 531 Keisler Dr Ste 104, Cary, NC 27518 | 2015-07-02 |
| 1053791343 | Duke University Affiliated Physicians | Family Medicine | 530 Waverly Place, Suite 101, Cary, NC 27518 | 2015-06-02 |
| Find all providers in zip 27518 | ||||
| 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 |
|---|---|---|---|---|
| 1063037752 | Amanda Nguyen | Dentist | 1500 Piney Plains Rd, Cary, NC 27518-6898 | 2020-06-09 |
| 1932730801 | Fuller & Associates Iv, Pllc | Dentist | 3420 Ten-ten Road, Suite 310, Cary, NC 27518 | 2020-01-30 |
| 1437700143 | S. Gibree, D.m.d., P.C. | Dentist | 10236 Green Level Church Rd Ste 101, Cary, NC 27519-8232 | 2019-09-24 |
| 1548812068 | Isaac Jared Edwards | Dentist | 3761 Nw Cary Pkwy Ste 100, Cary, NC 27513-8438 | 2019-07-15 |
| 1003476821 | Minka Hotic | Dentist | 3731 Nw Cary Pkwy Ste 201, Cary, NC 27513-8436 | 2019-06-14 |
| 1629635834 | Sarah Elizabeth Strickland Myers | Dentist | 455 Swiftside Dr Ste 101, Cary, NC 27518-7200 | 2019-05-22 |
| 1386115293 | Luz E. Estrada, Dds, Pllc II | Dentist | 300 Ashville Ave Ste 270, Cary, NC 27518-8694 | 2018-12-17 |
| 1346722550 | Wesley B Smith Dds Pa | Dentist | 130 Preston Executive Drive Suite 203, Cary, NC 27513 | 2018-09-04 |
| 1366920852 | Tsua Lor | Dentist | 3122 Lakeside View Ct, Cary, NC 27513 | 2018-08-06 |
| 1063999167 | Josephina Silva Lopes | Dentist | 6480 Tryon Rd Ste A, Cary, NC 27518-7050 | 2018-07-23 |
| Find all providers in CARY | ||||
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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.