Active NPI
Alexandra Dee Fuller, DDS
- General Practice Dentistry
- Pittsburgh, PA
National Provider Identifier
1184177941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS044604
- Practice address
- 950 Greentree Rd Ste 300
Pittsburgh, PA 15220-3314 - Phone
- (412) 921-2545
- NPI assigned
- Jul 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 059108-1 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | DS044604 | PA | Primary |
Addresses
Primary practice location
950 Greentree Rd Ste 300
Pittsburgh, PA 15220-3314
Mailing address
5683 Wagner Hill Road
Avoca, NY 14809
Phone (585) 314-9095
Other practice location 1
20300 State Rte 19
Cranberry Township, PA 16066
Phone (412) 265-9888
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 059108-1 | NY | MD | General Practice Dentistry |
| DS044604 | PA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Three Rivers Dental Group/Greentree LLC | General Practice | Current | Accepting new patients |
Locations
950 Greentree Rd
Ste 300
Pittsburgh, PA 15220
Phone (201) 841-1815
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Pittsburgh, PA
- NPI 1710131594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1184177941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5683 WAGNER HILL ROAD",
"city": "AVOCA",
"state": "NY",
"postal_code": "14809",
"telephone_number": "585-314-9095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 GREENTREE RD STE 300",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152203314",
"telephone_number": "412-921-2545"
}
],
"practiceLocations": [
{
"address_1": "20300 State Rte 19",
"address_purpose": "LOCATION",
"city": "Cranberry Township",
"state": "PA",
"postal_code": "16066",
"country_code": "US",
"telephone_number": "412-265-9888",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FULLER",
"first_name": "ALEXANDRA",
"middle_name": "DEE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-28",
"last_updated": "2025-07-10",
"certification_date": "2025-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "059108-1",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS044604",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.