Fuller, Ellis Lamar

Fuller, Ellis Lamar is an individual health care provider with primary practice located at 114 Timberlachen Cir , Lake Mary FL 32746-3395. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fuller, Ellis Lamar can be contacted via phone (407) 330-3801.

Contact Information

Primary practice address
114 Timberlachen Cir Lake Mary FL 32746-3395
Phone: (407) 330-3801
Fax: (407) 330-5739
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN15405 Florida

Profile Details

NPI number 1366466286
LBN Legal business name Fuller, Ellis Lamar
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Jun 26th, 2012 - about 12 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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