Individual provider · Type 1 NPI
Imani Joy Fuller
Pediatric Dentistry · Takoma Park, MD
NPI number
1801567144
Active
Practice location
1107 Sligo Creek Pkwy
Takoma Park, MD 20912-5806
Mailing address
19318 Tattershall Dr
Germantown, MD 20874-6245
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | 17689 (MD) |
Pediatric Dentistry: 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.
4 other providers at this address
- Dozier Dentistry, P.c.Pediatric Dentistry Takoma Park, MD NPI 1275270399
- Gregory O. Catchings DMD PAPreferred Provider Organization Takoma Park, MD NPI 1396285672
- Joseph Bruce Latta, DDSPediatric Dentistry Takoma Park, MD NPI 1700943701
- Michele Leann Dozier, DDSDentist Takoma Park, MD NPI 1053328674
Other pediatric dentistry providers in Takoma Park
About NPI 1801567144
Imani Joy Fuller's National Provider Identifier is 1801567144, issued on Sep 27, 2021. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Takoma Park, MD. The record was last updated on Feb 20, 2026.