Fuller & Associates IV, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FULLER & ASSOCIATES IV, PLLC

Doing business as

Kildaire Family & Cosmetic Dentistry

Practice address

3420 Ten-Ten Road, Suite 310
Cary, NC 27518

Phone

(919) 342-8509

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 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

Chad Rumley, SPHR

Title

Managing Director

Phone

(336) 226-0855

Specialties & licenses 1

Addresses

Other names 1

• Kildaire Family & Cosmetic Dentistry Doing business as

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580342400000",
    "number": "1932730801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 TEN-TEN ROAD, SUITE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-342-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 TEN-TEN ROAD, SUITE 310",
            "city": "CARY",
            "state": "NC",
            "postal_code": "27518",
            "telephone_number": "919-342-8509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULLER & ASSOCIATES IV, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A",
        "authorized_official_last_name": "RUMLEY",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "336-226-0855",
        "authorized_official_credential": "SPHR"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kildaire Family & Cosmetic Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Tulino Fugleberg, PHARMD
• Serenia Rose Fulcher
• Beryl Fulford
• Full Bloom Nutrition Therapy LLC
• Fuller & Associates IV, P.a. (Kildaire Family Dentistry)
• Fuller & Associates V PLLC
• Dalisa Simone Fuller
• James Fuller, PHD, DABCC
• Michael Fuller, D.C.
• Jessica Fullerton

• General Practice Dentistry in Cary, NC
• Providers in Cary, 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 Jan 30, 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.