Individual
DR. ANNA G FULLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
950 25TH ST STE A, OGDEN, UT 84401-6823
(801) 395-7090
Mailing address
1148 E HIGHWAY 193, LAYTON, UT 84040-8528
(801) 771-4505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8211338-9922
UT
122300000X
Dentist
DD2990
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8211338-992
UTAH DENTAL LICENCE - ANESTHESIA CLASS II PERMIT
UT
01
—
DD2990
NM DENTAL LICENCE
NM
Enumeration date
06/09/2008
Last updated
05/13/2020
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