DR. ALEXANDRA DEE FULLER (NPI# 1184177941) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184177941 |
| Entity Type | Individual |
| Full Name | DR. ALEXANDRA DEE FULLER |
| Credential | DDS |
| Practice Address |
625 Elmwood Ave Box 683 Rochester NY 14620 |
| Mailing Address |
5683 Wagner Hill Road Avoca NY 14809 |
| Practice Telephone | 5852758315 |
| Mailing Telephone | 5853149095 |
| Enumeration Date | 2016-07-28 |
| Last Update Date | 2018-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
059108-1 | NY | Dental Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 25 Red Jacket St, Dansville, NY 144379517 | 5853352201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467831735 | Alexandra Fuller | Pharmacist | 80 Rhinecliff Dr, Rochester, NY 14618-1506 | 2015-05-20 |
| 1609387059 | Alexandra Fuller | Behavioral Analyst | 103 Lewis St, Fort Walton Beach, FL 32547-3142 | 2017-10-12 |
| Street Address |
625 ELMWOOD AVE BOX 683 |
| City | ROCHESTER |
| State | NY |
| Zip Code | 14620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104853886 | Charles M. Oster | Dentist | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2006-06-27 |
| 1588273353 | Omar Said | Dentist | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-28 |
| 1215545785 | Mohammad Mahjoorighasrodashti | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-21 |
| 1467060384 | Barbara Sterniczuk | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-16 |
| 1285252460 | Brandon Hersh | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-14 |
| 1588272793 | Giuseppe Carvelli | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-07-14 |
| 1528683018 | Monica Amorim Da Silva Gusmini | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-06-10 |
| 1538783436 | Andrew Boshra | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-06-05 |
| 1396367207 | Aaron Masaru Miyamoto | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-05-13 |
| 1033731955 | Sukhmeet Singh Gujral | Student in an Organized Health Care Education/Training Program | 625 Elmwood Ave, Rochester, NY 14620-2913 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356974174 | Linda D Pratt | Speech-Language Pathologist | Rochester Hearing and Speech Center, 1000 Elmwood Ave Suite 400, Rochester, NY 14620 | 2020-02-20 |
| 1609417617 | Maisie Katherine Pipher | Physician Assistant | 110 Crittenden Blvd, Rochester, NY 14620 | 2019-10-01 |
| 1215592332 | Allison Mckeown | Student in an Organized Health Care Education/Training Program | 777 S. Clinton Avenue - Box Hh 37, Rochester, Ny 14620, Box Hh 37, Rochester, NY 14620 | 2019-05-03 |
| 1114495736 | Tabitha Domonique Griffin | Licensed Practical Nurse | 55 Forthill Terrace, Rochester, NY 14620 | 2018-11-13 |
| 1700371960 | Deborah Paul | Dermatology | 40 Celebration Dr # 697, Rochester, NY 14620 | 2018-06-28 |
| 1942725791 | Emily Catone | Nurse Practitioner | 252 Cobb Terrace, Rochester, NY 14620 | 2017-08-12 |
| 1104355593 | Acacia Palmer | Counselor | 150 Mount Hope Avenue, Rochester, NY 14620 | 2017-06-08 |
| 1750818803 | Meagan Michelle Goates | Student in an Organized Health Care Education/Training Program | 150 Crittenden Blvd, Rochester, NY 14620 | 2017-05-20 |
| 1386170470 | Kendall Battle | Licensed Practical Nurse | 479 South Ave Apt B, Rochester, NY 14620 | 2017-05-10 |
| 1285167700 | Gina Josette Kuehn | Student in an Organized Health Care Education/Training Program | 40 Celebration Dr # 278733, Rochester, NY 14620 | 2017-04-11 |
| Find all providers in zip 14620 | ||||
| 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 |
|---|---|---|---|---|
| 1760091763 | Erie Canal Dental Pllc | Dentist | 91 Erie Canal Dr Ste A, Rochester, NY 14626-4603 | 2020-07-26 |
| 1891303962 | Bryson Sloan Rushing | Dentist | 18 3rd St Sw Ste 300, Rochester, MN 55902-3022 | 2020-07-15 |
| 1033777636 | Mindy D Dogmanits | Dentist | 1300 Jefferson Rd Ste 300, Rochester, NY 14623-3195 | 2019-05-30 |
| 1447814553 | Gilbert Frank Hernandez | Dentist | 1299 Portland Ave Ste 4, Rochester, NY 14621-2727 | 2019-04-24 |
| 1669935920 | Michael Delucia | Dentist | 2105 Dewey Ave, Rochester, NY 14615-2207 | 2019-04-12 |
| 1912460189 | Vincenzo Giuseppe Marino | Dentist | 550 Latona Rd Ste B100, Rochester, NY 14626-2723 | 2019-04-12 |
| 1699255307 | Urgent Dental Care, Pllc | Dentist | 1740 Culver Rd Lowr Suite, Rochester, NY 14609-3836 | 2018-08-21 |
| 1811488737 | Anthony Richard Mesolella | Dentist | 2081 W Ridge Rd Ste 204, Rochester, NY 14626 | 2018-05-26 |
| 1235637141 | Cornerstone Dental of Henrietta | Dentist | 2104 E. Henrietta Road, Rochester, NY 14623 | 2018-01-25 |
| 1710415039 | Abner O De Los Santos | Dentist | 120 Erie Canal Dr Ste 150, Rochester, NY 14626 | 2017-05-31 |
| Find all providers in ROCHESTER | ||||
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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.