CECIL WILLIAM FULLER SR. (NPI# 1144499302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144499302 |
| Entity Type | Individual |
| Full Name | CECIL WILLIAM FULLER SR. |
| Credential | DMD |
| Practice Address |
203 Dallas Ave Selma AL 36701 |
| Practice Telephone | 3348744615 |
| Practice Fax Number | 3348744987 |
| Mailing Telephone | 3348744615 |
| Mailing Fax Number | 3348744987 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
3164 | AL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 92320 | 05 |
| Street Address |
203 DALLAS AVE |
| City | SELMA |
| State | AL |
| Zip Code | 36701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114491057 | Monica Boswell Moore | Nurse Practitioner | 1015 Medical Center Parkway, Selma, AL 36701 | 2019-01-14 |
| 1649784430 | Lightfoot Chiropractic Clinic, LLC | Chiropractor | 2117 Broad Street, Selma, AL 36701 | 2017-12-01 |
| 1356883284 | Vatausha Howard | Counselor | 1017 Medical Center Parkway, Selma, AL 36701 | 2016-11-09 |
| 1366993230 | Homestead Hospice of Cahaba | Hospice, Inpatient | 3005 Citizens Parkway, Selma, AL 36701 | 2016-10-17 |
| 1497018675 | Lashana Faye Jones | Technician | 2423 A North Broad St, Selma, AL 36701 | 2012-06-21 |
| 1528222809 | Eric M. Roussell Sr. | Pharmacist | 1300 Highland Avenue, Selma, AL 36701 | 2008-07-15 |
| 1184813396 | Alliance Pharmacy LLC | Pharmacy | 133 1half Broad St, Selma, AL 36701 | 2007-10-24 |
| 1376740373 | Selma City | Local Education Agency (LEA) | 2194 Broad Street, Selma, AL 36701 | 2007-07-02 |
| 1245356229 | Georgia W Rhodes | Audiologist | 2906 Citizens Pkwy, Selma, AL 36701 | 2007-03-22 |
| 1386793131 | Ernest T Okeke | Family Medicine | 901 Jeff Davis Ave, Suite A, Selma, AL 36701 | 2007-01-10 |
| Find all providers in zip 36701 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893522 | Jr Gonzalez A Dental Corporation | Dentist | 2775 Highland Ave, Selma, CA 93662-3462 | 2020-02-18 |
| 1154868990 | Hispano Dental Care | Dentist | 2775 Highland Ave Ste 103, Selma, CA 93662-3463 | 2017-01-31 |
| 1528502226 | St. Therese Family Dental Care | Dentist | 1801 Tucker St, Selma, CA 93662-3729 | 2016-12-14 |
| 1902238587 | Tx-desai Dental-selma Pllc | Dentist | 8143 Agora Pkwy, 105, Selma, TX 78154-1341 | 2013-08-06 |
| 1881865400 | Iverson B Hopson IIi | Dentist | 1415 Jeff Davis Ave, Selma, AL 36703-3833 | 2008-03-23 |
| 1922290626 | Julie Ravis Sams | Dentist | 724 Alabama Ave, Selma, AL 36701-4622 | 2007-08-16 |
| 1306989652 | Donald Henry Jacobsen | Dentist | 1221 Rose Ave, Selma, CA 93662 | 2007-02-15 |
| 1144383639 | St Joseph Family Dentistry | Dentist | 2827 Whitson, Selma, CA 93662 | 2006-12-18 |
| 1962591214 | John David Henderson | Dentist | 624 Lauderdale St, Selma, AL 36701-4529 | 2006-10-12 |
| 1174616601 | Rickman E Williams | Dentist | 2455 Medical Center Parkway, Selma, AL 36701-0485 | 2006-10-02 |
| Find all providers in SELMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.