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DR. JOHN FULL D.M.D.
NPI 1174970271
Dentist - Oral and Maxillofacial Surgery in Supply, NC

Active since May 18, 2016
90 MEDICAL CENTER DR STE 100, SUPPLY, NC 28462(910) 269-2420 Get Directions Write a Review

NPPES record last updated: March 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 6, 2022, May 18, 2016 (2 updates tracked since 2016).

About Dr. John Full D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN FULL D.M.D. (NPI 1174970271) is an individual oral and maxillofacial surgery provider in Supply, North Carolina, licensed in North Carolina (11562) and active in the NPI registry since May 2016. He maintains a secondary practice location in Valhalla.

NPPES Registry Identity

NPI1174970271
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. JOHN FULLCredential: D.M.D.
Location Address90 MEDICAL CENTER DR STE 100Supply, NC 28462-3669
Mailing Address90 Medical Center Dr Ste 100Supply, NC 28462-3669 · (717) 817-3235
Phone(910) 269-2420
Sole ProprietorNo
Enumeration DateMay 18, 2016
Last NPPES UpdateMarch 6, 20222 updates tracked since enumeration
NPPES CertifiedMarch 6, 2022
✔ NPI 1174970271 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NC · 11562
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
90 MEDICAL CENTER DR STE 100, Supply, NC 28462
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Secondary Practice Location 1

Location 1100 Woods Road, Westchester Medical CenterValhalla, NY 10595-1702 · Phone (717) 817-3235

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Delta Dental of North Carolina.Insurance ›

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Full's NPI number?

The NPI number for John Full is 1174970271. It was assigned to this individual provider in the NPPES registry on May 18, 2016.

Where is John Full located?

John Full practices at 90 Medical Center Dr Ste 100, Supply, NC 28462. The listed phone number is (910) 269-2420.

What is John Full's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

What insurance does John Full accept?

Health plans from Delta Dental of North Carolina list John Full as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Full was last updated on March 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.