DR. JENNIFER RENEE FULLER (NPI# 1831364108) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831364108 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER RENEE FULLER |
| Credential | DDS |
| Practice Address |
334 Livernois St Ferndale MI 48220-2302 |
| Mailing Address |
13026 W Mcnichols Rd Detroit MI 48235 |
| Practice Telephone | 3138649110 |
| Practice Fax Number | 3138648750 |
| Mailing Telephone | 3138649110 |
| Mailing Fax Number | 3138648750 |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2901017660 | MI | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801386230 | Jennifer Fuller | Counselor | 810a Texas Ave, Alexandria, LA 71301-4829 | 2018-05-10 |
| 1790150084 | Jennifer Fuller | Registered Nurse | 9618 N 36th St, Phoenix, AZ 85028-4938 | 2015-12-11 |
| 1952787046 | Jennifer Fuller | Specialist | 75-5995 Kuakini Hwy Ste 603, Kailua Kona, HI 96740-2124 | 2015-07-31 |
| 1902149933 | Jennifer Carroll Fuller | Otolaryngology | 11234 Anderson St # 2586a, Loma Linda, CA 92354-2804 | 2013-03-27 |
| 1861784571 | Jennifer D Fuller | Counselor | 304 W Baseline Rd, Lafayette, CO 80026-1719 | 2011-05-12 |
| 1053962647 | Jennifer Fuller | Social Worker | 2652 Spring Arbor Rd, Jackson, MI 49203-3604 | 2019-09-25 |
| 1316501927 | Jennifer Quinn Fuller | Counselor | 7701 N Lamar Blvd Ste 206, Austin, TX 78752-1022 | 2019-04-29 |
| 1538637095 | Jennifer Fuller | Marriage & Family Therapist | 21335 Signal Hill Plz Ste 270, Sterling, VA 20164-5567 | 2018-11-02 |
| 1326529090 | Jennifer Fuller | Nurse Practitioner | 179 River St, Oneonta, NY 13820-2239 | 2018-08-22 |
| 1992186621 | Jennifer Fuller | Behavioral Analyst | 224 Nazareth Pike, Trolley Station Mall Suite 22a, Bethlehem, PA 18020-9080 | 2015-06-18 |
| Street Address |
334 LIVERNOIS ST |
| City | FERNDALE |
| State | MI |
| Zip Code | 48220-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609428960 | Jennifer Guglielmi | Case Manager/Care Coordinator | Community Living Services, Kent County Division, 642 East Nine Mile Road, Ferndale, MI 48220 | 2019-07-16 |
| 1750876439 | Kathryn Pozniak | Counselor | 3136 Hilton Rd, Ferndale, MI 48220 | 2018-06-26 |
| 1033626841 | Anna Billane Kern | Nurse Practitioner | 223 E Oakridge St Apt 2, Ferndale, MI 48220 | 2018-01-02 |
| 1790294213 | Essential Healing LLC | Home Health | 1929 Almont St, Ferndale, MI 48220 | 2017-09-27 |
| 1629599220 | Gifted Hands Care Services LLC. | Home Health Aide | 1825 E. Troy, Ferndale, MI 48220 | 2017-07-05 |
| 1538609409 | Andrew Spitzer | Nurse Practitioner | 261 W 9 Mile Rd Apt 301, Ferndale, MI 48220 | 2017-02-27 |
| 1598211914 | Samantha Marie Vann | Technician, Other | 2147 Moorehouse, Ferndale, MI 48220 | 2016-08-26 |
| 1174981963 | Kelsey Rose Orlando | Speech-Language Pathologist | 3178 Hilton Rd, Ferndale, MI 48220 | 2016-02-08 |
| 1598123747 | Marlene O. Joshi | Counselor | 1538 Leroy St, Ferndale, MI 48220 | 2016-02-03 |
| 1245608892 | Michael Tocco | Acupuncturist | 3055 Hilton Rd Ste B, Ferndale, MI 48220 | 2015-09-11 |
| Find all providers in zip 48220 | ||||
| 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 |
|---|---|---|---|---|
| 1619357290 | Stephen A Harlow | Dentist | 2241 Hilton Rd Ste 1, Ferndale, MI 48220-1459 | 2015-06-09 |
| 1467707653 | Jung Joo Lee | Dentist | 5616 3rd Ave, Ferndale, WA 98248-8394 | 2012-07-13 |
| 1366721797 | Emilynda V Quinones | Dentist | 6004 Portal Way Unit A, Ferndale, WA 98248-8382 | 2011-08-16 |
| 1316178692 | Linh T Vu | Dentist | 2086 Main St, Ferndale, WA 98248 | 2009-08-04 |
| 1518121268 | Walter Flagg | Dentist | 1725 Pinecrest, Ferndale, MI 48220 | 2008-07-11 |
| 1346859725 | Jessica Saikaley | Dentist | 1010 Livernois St, Ferndale, MI 48220-3347 | 2020-07-30 |
| 1003360694 | Ashley Marie Hutto | Dentist | 6060 Portal Way, Ferndale, WA 98248-7833 | 2016-08-11 |
| 1871946707 | Fatima Taher | Dentist | 8890 W 8 Mile Rd, Ferndale, MI 48220-4202 | 2016-07-15 |
| 1437560810 | Edward Chin | Dentist | 2141 Washington St, Ste 102, Ferndale, WA 98248 | 2014-05-19 |
| 1629498407 | Michael A Sacro Dds PC | Dentist | 6004 Portal Way Unit A, Ferndale, WA 98248-8382 | 2014-04-21 |
| Find all providers in FERNDALE | ||||
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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.