Fuller, Crystal G

Fuller, Crystal G is an sole proprietor health care provider with primary practice located at 446 Shadeland Pl , Macon GA 31206-5225. She recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / General Practice. Dental Providers / General Practice is her primary health care specialty. Fuller, Crystal G can be contacted via phone (478) 718-1314.

Contact Information

Primary practice address
446 Shadeland Pl Macon GA 31206-5225
Phone: (478) 718-1314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 11374 Tennessee
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Dental Providers / General Practice 1223G0001X DN122534 Georgia

Profile Details

NPI number 1558988055
LBN Legal business name Fuller, Crystal G
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2020
Last updated Jul 27th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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