Ian Fuller, DDS

General Practice Dentistry · Alameda, CA

Individual Active NPI

NPI number 1457078677

Practice location

2241 Central Ave Ste B
Alameda, CA 94501-4430
Phone
(510) 865-4400

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NPI record

NPI
1457078677
Entity type
Individual (Type 1)
Enumeration date
October 27, 2022
Last updated
January 8, 2025
Certified
January 8, 2025
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X DDS108278 CA

Mailing address

2159 Encinal Ave
Alameda, CA 94501-4321

Other practice locations (2)

  • 1504 Alcatraz Ave, Berkeley, CA 94703-2610 · (510) 653-6424
  • 2380 Monument Blvd Ste F, Pleasant Hill, CA 94523-3972 · (925) 363-4455

About Dr. Fuller

Ian Fuller, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 2241 Central Ave Ste B, Alameda, CA 94501-4430. The NPI number 1457078677 was assigned on October 27, 2022 and the record was last updated on January 8, 2025.

Dr. Fuller lists a license in the registry: #DDS108278 (CA) 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 Ian Fuller, DDS?

The NPI number is 1457078677.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (510) 865-4400.

Where is Dr. Fuller located?

2241 Central Ave Ste B, Alameda, CA 94501-4430.

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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