person
Cecil William Fuller SR., DMD
General Practice Dentistry in Selma, Alabama
NPI 1144499302

Cecil William Fuller SR. is a General Practice Dentistry based in Selma, AL and is specialized in General Practice. Cecil William Fuller SR. practices in Selma, AL and has the professional credentials of DMD. The NPI Number for Cecil William Fuller SR. is 1144499302 and holds a License No. 3164 (Alabama).

The current practice location address for Cecil William Fuller SR. is 203 Dallas Ave, Selma, AL and can be reached out via phone at 334-874-4615 and via fax at 334-874-4987.

Location: 203 Dallas Ave, Selma, AL, 36701
person
Provider Profile Details
NPI Number
1144499302
Provider Name
Cecil William Fuller SR.
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
203 Dallas Ave, Selma, AL, 36701
Phone Number
334-874-4615
Fax Number
334-874-4987
Provider Enumeration Date
02/21/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
92320 05 AL
institution
Provider Business Practice Location Address Details
Address
203 Dallas Ave
City
State
Zip
36701
Phone Number
334-874-4615
Fax Number
334-874-4987
person
Provider Business Mailing Address Details
Address
203 Dallas Ave
City
State
Zip
36701
Phone Number
334-874-4615
Fax Number
334-874-4987
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
License No.
3164 (Alabama)
Definition
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.
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