Individual provider · Type 1 NPI

Hayden Fuller, DDS

Periodontics · Oklahoma City, OK

NPI number 1881180974 Active

Practice location

4320 Mcauley Blvd
Oklahoma City, OK 73120-8386

Mailing address

2141 Huntleigh Dr
Oklahoma City, OK 73120-3806

Other practice locations

  • 1201 N Stonewall Ave # DCSB253, Oklahoma City, OK 73117-1214 · (405) 414-7481

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X6853 (OK)
Periodontics Primary 1223P0300X81 (OK)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1881180974

Hayden Fuller, DDS's National Provider Identifier is 1881180974, issued on Jul 2, 2018. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Oklahoma City, OK. The record was last updated on Feb 9, 2021.