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Dr. Tayler Danyelle Fuller, DDS

Dentist, General Practice in Omaha, NE. Individual provider (NPI-1).

NPI number1669964003
StatusActive
Last updated in NPPESApr 9, 2019

Details

NPI
1669964003
Entity type
Individual (NPI-1)
Name
Dr. Tayler Danyelle Fuller
Credential
DDS
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 1, 2018
Last updated
Apr 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7461NEYes
1223G0001X Dentist, General PracticeDDS-09543IA

Practice location

2602 J St
Omaha, NE 68107-1643

Phone 402-733-1325

Mailing address

2537 S 3rd Street Plz
Omaha, NE 68108-1709

Phone 208-553-6977

Other practice locations

1509 Avenue G
Council Bluffs, IA 51501-2516

Phone 712-325-1544

11110 Fort St Ste 106
Omaha, NE 68164-2183

Phone 402-492-8300

214 E Erie St
Missouri Valley, IA 51555

Phone 712-642-3491

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