Active NPI
Fuller & Associates II, P.a.
Doing business as McLeansville Family & Cosmetic Dentistry
- General Practice Dentistry
- McLeansville, NC
National Provider Identifier
1770042368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- FULLER & ASSOCIATES II, P.A.
- Doing business as
- McLeansville Family & Cosmetic Dentistry
- Practice address
- 5706 McLeansville Rd
MC Leansville, NC 27301-9303 - Phone
- (336) 697-0618
- NPI assigned
- Mar 14, 2019
- Last updated
- Dec 19, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Annette F Straughan
- Title
- Director of Operations
- Phone
- (336) 343-4532
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | NU | Primary |
Addresses
Primary practice location
5706 McLeansville Rd
MC Leansville, NC 27301-9303
Mailing address
3450 Forestdale Dr
Burlington, NC 27215-9142
Phone (336) 343-4532
Other names 1
- McLeansville Family & Cosmetic Dentistry
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Dentist
- McLeansville, NC
- NPI 1306964903
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576713600000",
"number": "1770042368",
"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": "336-343-4532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 MCLEANSVILLE RD",
"city": "MC LEANSVILLE",
"state": "NC",
"postal_code": "273019303",
"telephone_number": "336-697-0618"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULLER & ASSOCIATES II, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2019-03-14",
"last_updated": "2019-12-19",
"certification_date": "2019-12-19",
"status": "A",
"authorized_official_last_name": "STRAUGHAN",
"authorized_official_first_name": "ANNETTE",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "336-343-4532",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "McLeansville Family & Cosmetic Dentistry",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McLeansville, NC
- Mary T Wrenn Farmer, LPCA , CRC
- Ronald Flack Jr., LCAS, CSI
- Frank & Raq Afl & Associates LLC Dba: Trumind Behavioral Health Services
- Jerilyn S. Free, IBCLC, CD(DONA)
- Ursula Michele Frison, M.S., LPC
- Fuller Primary Care PLLC
- Garden of the Mind Counseling, PLLC
- Go From Here to There Transportation
- Alexis Hairston
- Heaven Sent Home Health Care, PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.