DR. LESLIE FULLERTON


Address: 2255 N Loop 336 W Ste D, Conroe, TX 77304-3632
Phone: 9367561951

DR. LESLIE FULLERTON (NPI# 1437311909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437311909
Entity Type Individual
Full Name DR. LESLIE FULLERTON
Credential D.D.S.
Practice Address 2255 N Loop 336 W Ste D
Conroe
TX 77304-3632
Practice Telephone 9367561951
Enumeration Date 2008-06-26
Last Update Date 2008-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223X0400X Dentist
Specialization: Orthodontics and Dentofacial Orthopedics
19458 TX Dental Providers

Office Location

Street Address 2255 N LOOP 336 W STE D
City CONROE
State TX
Zip Code 77304-3632

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194348649 Neuropsychiatric Hospital of Greater Houston, LLC Psychiatric Hospital 1317 South Loop Road 336 West, Conroe, TX 77304 2020-05-19
1780148676 Muve - Conroe Ambulatory Surgical Center, LLC Clinic/Center 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 2019-01-25
1922591411 Bradley Leiker II Dentist 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 2018-06-11
1598266009 Chapman Pain Consultants Anesthesiology 4015 I45 North, Suite 230-1, Conroe, TX 77304 2018-02-21
1063932366 Jonathan Garcia Specialist/Technologist 1716 Summergate Drive, Conroe, TX 77304 2017-06-27
1932634169 3083 Imaging LLC Clinic/Center 1246 N Fm 3083 West, Conroe, TX 77304 2017-04-25
1881138758 Bolt Urgent Care and Imaging Center, LLC Clinic/Center 1246 Fm 3083 West, Conroe, TX 77304 2016-12-13
1497106272 The Rio At Conroe, LLC Skilled Nursing Facility 604 South Conroe Medical Drive, Conroe, TX 77304 2016-06-23
1093165615 Melanie Kay Plaster Behavioral Analyst 2626 Silver Shadow, Conroe, TX 77304 2016-06-14
1508249798 Conroe Willis Family Medicine, Pllc Family Medicine 4015 I 45 N Ste 220, Conroe, TX 77304 2015-07-07
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Taxonomy Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1427397256 David William White Dentist 3600 Farm To Market Rd 1488 #90, Conroe, TX 77384 2013-02-14
1649490509 Eduardo A Mejia Dentist 2257 N Loop 336 W, Suite 120, Conroe, TX 77304-3566 2007-04-25
1790825636 Glenn Combs Lincoln Jr. Dentist 27840 I-45 North, Conroe, TX 77385 2007-02-08
1063937613 Sara Abedini Dentist 1317 W Davis St, Conroe, TX 77304-2333 2017-08-04
1477688349 Ronald Eugene Bautsch Dentist 3205 W Davis St, Suie B250, Conroe, TX 77304-2039 2007-02-22

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750989992 Maxwell Oldham Dentist 115 Kohlers Xing Ste 350, Kyle, TX 78640-2467 2020-10-10
1154928943 Amanda Gerlach Dentist 3550 Hulen St Ste C, Fort Worth, TX 76107-6885 2020-10-05
1700496411 Farhana Rahman Dentist 398 E Pipeline Rd, Hurst, TX 76053-5831 2020-08-06
1093324675 Frisco Braces Pllc Dentist 5285 Dallas Pkwy Ste 500, Frisco, TX 75034-9634 2020-07-29
1316556061 Prosper Braces Pllc Dentist 821 N Coleman St Ste 110, Prosper, TX 75078-2305 2020-07-29
1871118133 Tardy Orthodontics PC Dentist 8805 North Tarrant Parkway, Suite 200, North Richland Hills, TX 76182 2020-06-12
1285256636 Bear Dental Corp Dentist 210 N. Coit Rd., Mckinney, TX 75071 2020-05-08
1275155665 Joanna Song Dentist 2540 Fm 2920 Rd Ste H, Spring, TX 77388-3672 2020-05-08
1477175917 Meredith Ann Williams Dentist 5215 Fm 1463 Rd Ste 700, Katy, TX 77494-7437 2020-05-06
1740809003 Boss Orthodontics, Pllc Dentist 15801 W Hwy 71 Ste 600, Bee Cave, TX 78738-2709 2020-04-15
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Competitor

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City CONROE
Zip Code 77304

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Dataset Information

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.

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