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Contact Information

NOEL P FULLER, D.M.D, P.A
1380 EBENEZER RD
ROCK HILL, SC29732
 Phone: 803-324-2919
 Fax: 803-324-2918
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for NOEL P FULLER · (Male)

NPI # 1871679852
Status Active
Credentials D.M.D, P.A
Entity Individual
Enumeration date 10/31/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 1799
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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