Hayden Fuller, DDS
Dentist, Periodontics in Oklahoma City, OK. Individual provider (NPI-1).
NPI number1881180974
StatusActive
Last updated in NPPESFeb 9, 2021
Details
- NPI
- 1881180974
- Entity type
- Individual (NPI-1)
- Name
- Hayden Fuller
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 2, 2018
- Certification date
- Feb 9, 2021
- Last updated
- Feb 9, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0300X | Dentist, Periodontics | 81 | OK | Yes |
| 122300000X | Dentist | 6853 | OK |
Practice location
4320 McAuley BlvdOklahoma City, OK 73120-8386
Phone 405-755-4826
Mailing address
2141 Huntleigh DrOklahoma City, OK 73120-3806
Phone 405-414-7481
Other practice locations
1201 N Stonewall Ave # Dcsb253
Oklahoma City, OK 73117-1214
Oklahoma City, OK 73117-1214
Phone 405-414-7481
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 31 Periodontics providers in Oklahoma City · All 27,799 providers in Oklahoma City
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