Individual provider · Type 1 NPI

Ellis Lamar Fuller, D.D.S

Dentist · Lake Mary, FL

NPI number 1366466286 Active

Practice location

114 Timberlachen Cir
Lake Mary, FL 32746-3395

Fax (407) 330-5739

Mailing address

1287 Blessing St
Maitland, FL 32751-4260

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000XDN15405 (FL)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1366466286

Ellis Lamar Fuller, D.D.S's National Provider Identifier is 1366466286, issued on Jul 26, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Lake Mary, FL. The record was last updated on Jun 26, 2012.