Individual
CECIL WILLIAM FULLER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
203 DALLAS AVE, SELMA, AL 36701
(334) 874-4615
(334) 874-4987
Mailing address
203 DALLAS AVE, SELMA, AL 36701
(334) 874-4615
(334) 874-4987
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3164
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
92320
—
AL
Enumeration date
02/21/2008
Last updated
02/21/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us