| Rawley H. Fuller, Iv, Dds, Pa | |
|
3450 Forestdale Dr. Burlington NC 27215-9142 | |
| (336) 226-0855 | |
| (336) 226-0137 |
| Full Name | Rawley H. Fuller, Iv, Dds, Pa |
|---|---|
| Speciality | Dentist |
| Location | 3450 Forestdale Dr., Burlington, North Carolina |
| Authorized Official Name and Position | Rawley Harrison Fuller (DENTIST & OWNER) |
| Authorized Official Contact | 3362260855 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rawley H. Fuller, Iv, Dds, Pa 3450 Forestdale Dr. Burlington NC 27215-9142 Ph: (336) 226-0855 | Rawley H. Fuller, Iv, Dds, Pa 3450 Forestdale Dr. Burlington NC 27215-9142 Ph: (336) 226-0855 |
| NPI Number | 1609949155 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 12/19/2014 |
| Medicare PECOS PAC ID | 4789996364 |
|---|---|
| Medicare Enrollment ID | O20150710000511 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609949155 | NPI | - | NPPES |
| 8992953 | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6491 (North Carolina) | Primary |
| Provider Name | Rawley H Fuller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1215000864 PECOS PAC ID: 0042522526 Enrollment ID: I20150713000922 |
| Provider Name | Jamie J Peterson |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1578688933 PECOS PAC ID: 3173823150 Enrollment ID: I20151123002280 |
Richard L. Dailey Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Hermitage Rd, Burlington, NC 27215 Phone: 336-513-0576 Fax: 336-513-0578 | |
Himi Saxena Dds Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2903 Professional Park Rd, Ste A, Burlington, NC 27215 Phone: 336-229-1444 Fax: 336-222-8180 | |
Robert E. Jepko D.d.s., Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1155 Huffman Mill Rd, Burlington, NC 27215 Phone: 336-586-9696 Fax: 336-538-4972 | |
Anne Elizabeth Family Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2728 Ann Elizabeth Dr, Burlington, NC 27215 Phone: 336-586-1919 | |
Nazir Ahmad Dds Iii, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2430 S Church St, Burlington, NC 27215 Phone: 919-322-4500 Fax: 919-882-8545 | |
Drs. Touloupas&touloupas,dds,pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1628 Memorial Dr, Burlington, NC 27215 Phone: 336-226-5485 Fax: 336-226-5435 | |
Kostelic & Associates 3, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2211 Delaney Dr, Burlington, NC 27215 Phone: 336-226-4714 |