Sandra L. Fuller,DDS,P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6821 Issued in NC

Legal business name

SANDRA L. FULLER,DDS,P.A.

Practice address

1515 W Cornwallis Dr
Greensboro, NC 27408-6338

Phone

(336) 379-1206

Fax

(336) 379-1733

NPI assigned

Aug 15, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Sandra Fuller, DDSNPI 1982617361

Title

Pres.

Phone

(336) 379-1206

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sandra Fuller, DDS

  • General Practice Dentistry
  • Greensboro, NC
  • NPI 1982617361
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326051707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W CORNWALLIS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274086338",
            "telephone_number": "336-379-1206",
            "fax_number": "336-379-1733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W CORNWALLIS DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274086338",
            "telephone_number": "336-379-1206",
            "fax_number": "336-379-1733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA L. FULLER,DDS,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "336-379-1206",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "6821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Sanderson, PT
• Mahesh S. Sandhu, DO
• Marvin Mathias Sandifer, MSW, LCSW, LCAS
• Jennifer Sandoval Bejarano
• Sandra L Fuller DDS PA
• Brenda K Sandridge, PA
• Christie Sanford, DDS
• Frances C Sanford, PAC
• Melanie Bernadette Sanford, M.D.
• Ryan B Sanford, M.D.

• General Practice Dentistry in Greensboro, NC
• Providers in Greensboro, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.