Emma Fuller, DMD

General Practice Dentistry · Hickory Hills, IL

Individual Active NPI

NPI number 1013696673

Practice location

9055 S Roberts Rd
Hickory Hills, IL 60457-3812
Phone
(709) 598-4055

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NPI record

NPI
1013696673
Entity type
Individual (Type 1)
Enumeration date
July 12, 2023
Last updated
August 5, 2024
Certified
August 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 019034322 IL

About Dr. Fuller

Emma Fuller, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 9055 S Roberts Rd, Hickory Hills, IL 60457-3812. The NPI number 1013696673 was assigned on July 12, 2023 and the record was last updated on August 5, 2024.

Dr. Fuller lists a license in the registry: #019034322 (IL) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Emma Fuller, DMD?

The NPI number is 1013696673.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (709) 598-4055.

Where is Dr. Fuller located?

9055 S Roberts Rd, Hickory Hills, IL 60457-3812.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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