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FULLER AND LEMLEY DENTAL CORP NPI 1598011793


NPI Information

NPI: 1598011793
Provider Name: FULLER AND LEMLEY DENTAL CORP

Doing Business As: PEDIATRIC DENTISTRY OF REDLANDS

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1481 FORD ST
SUITE 101
REDLANDS, CA
ZIP 92373
Phone: (909) 793-4326
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FULLER AND LEMLEY DENTAL CORP is a pediatric dentistry dentist in Redlands, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. FULLER AND LEMLEY DENTAL CORP NPI is 1598011793. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Pediatric Dentistry Of Redlands.

The provider's business location address is:

1481 FORD ST
SUITE 101
REDLANDS, CA
ZIP 92373-916
Phone: (909) 793-4326
Fax: (909) 793-4339

The provider's authorized official is Cameron Edward Fuller .
The authorized official title is Owner and has the following contact phone number (909) 793-4326.

The enumeration date for this NPI number is 7/25/2012 and was last updated on 7/25/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry55344CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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