Organization
FULLER & ASSOCIATES X PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD RUMLEY SPHR (CHIEF OPERATING OFFICER)
(336) 586-5013
Entity
Organization
Contact information
Practice address
509 OLDE WATERFORD WAY STE 300, LELAND, NC 28451-4171
(910) 383-0100
(910) 383-0120
Mailing address
3450 FORESTDALE DR, BURLINGTON, NC 27215-9142
(336) 586-5010
(336) 586-5015
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
07/08/2021
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