DR. AMY JO FULLER (NPI# 1518157080) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518157080 |
| Entity Type | Individual |
| Full Name | DR. AMY JO FULLER |
| Other Name | DR. AMY JO DETTBARN |
| Credential | DDS |
| Practice Address |
3060 Avenue B Suite A Billings MT 59102 |
| Practice Telephone | 4066514867 |
| Mailing Telephone | 4066514867 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2012-05-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D2278 | MT | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235559121 | Amy Margaret Fuller | Nurse Practitioner | 34 Bayview Ave, Danvers, MA 01923-3214 | 2014-04-18 |
| 1538227319 | Amy Fuller | Dentist | 247 Portland Street, Yarmouth, ME 04096 | 2006-12-05 |
| 1366915811 | Amy Lynn Fuller | Speech-Language Pathologist | 2011 Broadway St Ste 130, Pearland, TX 77581-5945 | 2019-01-08 |
| 1013432343 | Amy Marie Fuller | Behavioral Analyst | 120 Theresa Ave, American Canyon, CA 94503-9654 | 2017-08-08 |
| 1366898710 | Amy Fuller | Emergency Medicine | 628 E 12th St, Washington, NC 27889-3409 | 2016-05-04 |
| 1396105938 | Amy Fuller | Behavioral Analyst | 140 High St, Carver, MA 02330-1016 | 2016-02-24 |
| 1417323965 | Amy Fuller | Behavioral Analyst | 2447 Pacific Coast Hwy, Hermosa Beach, CA 90254-2714 | 2015-08-19 |
| 1700073673 | Amy Beth Fuller | Dietitian, Registered | 1081 N China Lake Blvd, Ridgecrest, CA 93555-3130 | 2007-09-25 |
| 1184730756 | Amy M Fuller | Counselor | 1380 Pantheon Way, #310, San Antonio, TX 78232 | 2006-08-23 |
| Street Address |
3060 AVENUE B SUITE A |
| City | BILLINGS |
| State | MT |
| Zip Code | 59102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700402336 | Stephanie Diane Adkins | Counselor | 1726 Lampman Dr., Billings, MT 59102 | 2020-06-19 |
| 1366072563 | Carrie L Barton | Assistant Behavior Analyst | 1701 Avenue E Suite A, Billings, MT 59102 | 2020-01-16 |
| 1407418080 | Lori Lyn Strickler | Massage Therapist | 2901 Monad Road, Apt. 99, Billings, MT 59102 | 2019-07-03 |
| 1649754300 | Native American Development Corporation | Clinic/Center | 1230 North 30th Street, Billings, MT 59102 | 2018-09-19 |
| 1396235818 | Better Times Recovery Services LLC | Clinic/Center | 1925 Grand Ave Ste 103, Billings, MT 59102 | 2018-05-10 |
| 1982118428 | Family Support Network | Counselor | 1002 10th Street West, Suite 1, Billings, MT 59102 | 2017-11-20 |
| 1598281859 | Billings Clinic Specialty Supplies and Services, LLC | Durable Medical Equipment & Medical Supplies | 1015 Broadwater Ave Ste 102, Billings, MT 59102 | 2017-08-18 |
| 1326564857 | Billings Clinic Specialty Supplies and Services, LLC | Pharmacy | 1015 Broadwater Ave Ste 101, Billings, MT 59102 | 2017-08-16 |
| 1326586124 | Bailey K. Wilson | Behavior Technician | 3101 Lynn Ave., Apt. #3, Billings, MT 59102 | 2017-02-01 |
| 1588108120 | Angela Grimm | Counselor | 1200 30th St W, Billings, MT 59102 | 2016-12-16 |
| Find all providers in zip 59102 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912514977 | Kenneth J Bagby Dds P C | Dentist | 1540 Lake Elmo Dr Ste 3, Billings, MT 59105-1798 | 2020-09-24 |
| 1811396708 | David Sterzer | Dentist | 10 Avanta Way Ste 3, Billings, MT 59102-6874 | 2014-08-18 |
| 1669712303 | Brian E. Blackwell | Dentist | 1045 N 27th St, Billings, MT 59101-0711 | 2013-02-17 |
| 1932494127 | John C Wilson | Dentist | 2675 Central Ave Ste L8, Billings, MT 59102-6686 | 2011-06-15 |
| 1356592349 | Robert Allan Bronecki | Dentist | 926 Main, Suite #23, Billings, MT 59105 | 2008-10-08 |
| 1336303486 | Lisa Thompson | Dentist | 921 Broadwater Sq Ste 101, Billings, MT 59101-1634 | 2008-07-17 |
| 1194923334 | Steven James Shimamoto | Dentist | 2370 Ave C, Suite 3, Billings, MT 59102 | 2007-07-10 |
| 1528262896 | Ian Christopher Mcdonald | Dentist | 2525 4th Ave N Ste 1, Billings, MT 59101 | 2007-06-12 |
| 1962625319 | Gregory K Moritz | Dentist | 2049 Broadwater Ave Ste 2, Billings, MT 59102-4871 | 2007-04-11 |
| 1902933385 | Andrew W Pickens | Dentist | 730 Main, Suite 101, Billings, MT 59105 | 2007-02-27 |
| Find all providers in BILLINGS | ||||
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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.