Fuller & Associates 11, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FULLER & ASSOCIATES 11, PLLC

Doing business as

Stonehenge Family & Cosmetic Dentistry

Practice address

8015 Creedmoor Rd Ste 202
Raleigh, NC 27613-4397

Phone

(919) 847-8747

NPI assigned

Nov 10, 2022

Last updated

Nov 10, 2022By 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

Dr. Rawley H Fuller IV, DDS

Title

Owner

Phone

(336) 213-0549

Specialties & licenses 1

Addresses

Other names 1

• Stonehenge Family & Cosmetic Dentistry Doing business as

Electronic endpoints 1

Locations

Practitioners 3

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.

• Cynthia Nichols Elderkin, D.D.S.

  • Dentist
  • Raleigh, NC
  • NPI 1205955887
  NPD (past)
• Claudel Pilon Giggey

  • General Practice Dentistry
  • Raleigh, NC
  • NPI 1770079113
  NPD (past)
• Joey D Pesicek, DDS

  • General Practice Dentistry
  • Cary, NC
  • NPI 1326152513
  NPD (past)

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1427766112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 FORESTDALE DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159142",
            "telephone_number": "336-586-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8015 CREEDMOOR RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276134397",
            "telephone_number": "919-847-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER & ASSOCIATES 11, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "RAWLEY",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-213-0549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.stonehengedental.com",
            "affiliation": "N",
            "endpointDescription": "company website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8015 Creedmoor Rd Ste 202",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276134397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stonehenge Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia Fulford
• Mary Susan Fulghum, MD
• Full Circle Wellness & Counseling PLLC
• Full Spectrum ABA of North Carolina LLC
• Salamatu Fullah Cullen, ASSOCIATE DEGREE
• Fuller & Associates I PA (Reflections Dental)
• Alysha Fuller, PT, DPT
• Christi Fuller, LCMHCA
• Elizabeth Fuller, PA
• Ryan Chandler Fuller

• General Practice Dentistry in Raleigh, NC
• Providers in Raleigh, 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 Nov 10, 2022; 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.