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DR. ELLIS LAMAR FULLER D.D.S
NPI 1366466286
Dentist in Lake Mary, FL

Active since July 26, 2006
114 TIMBERLACHEN CIR, LAKE MARY, FL 32746(407) 330-3801(407) 330-5739 Get Directions Write a Review

NPPES record last updated: June 26, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Ellis Lamar Fuller D.d.s NPPES

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

DR. ELLIS LAMAR FULLER D.D.S (NPI 1366466286) is an individual dentist in Lake Mary, Florida, licensed in Florida (DN15405) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1366466286
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. ELLIS LAMAR FULLERCredential: D.D.S
Location Address114 TIMBERLACHEN CIRLake Mary, FL 32746-3395
Mailing Address1287 Blessing StMaitland, FL 32751-4260 · (407) 838-0101
Phone(407) 330-3801
Fax(407) 330-5739
Sole ProprietorNo
Enumeration DateJuly 26, 2006
Last NPPES UpdateJune 26, 2012
✔ NPI 1366466286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN15405
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
114 TIMBERLACHEN CIR, Lake Mary, FL 32746
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRECISION DENTAL PA
Dentist (General Practice)
114 TIMBERLACHEN CIR
LAKE MARY, FL 32746
Seminole County (407) 330-3801
DR. DEAN ALLEN GOODALL DDS
Dentist (General Practice)
114 TIMBERLACHEN CIR
LAKE MARY, FL 32746
Seminole County (407) 330-3801
LAKE MARY DENTAL PA
Dentist (General Practice)
114 TIMBERLACHEN CIR
LAKE MARY, FL 32746
Seminole County (407) 330-3801
DR. DEORAJ RAVI LALL D.D.S.
Dentist (General Practice)
114 TIMBERLACHEN CIR
LAKE MARY, FL 32746
Seminole County (407) 330-3801
DR. KENNETH E PYLE D.D.S.
Dentist (General Practice)
114 TIMBERLACHEN CIR
LAKE MARY, FL 32746
Seminole County (407) 330-3801

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 Ellis Fuller's NPI number?

The NPI number for Ellis Fuller is 1366466286. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Where is Ellis Fuller located?

Ellis Fuller practices at 114 Timberlachen Cir, Lake Mary, FL 32746. The listed phone number is (407) 330-3801.

What is Ellis Fuller's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Ellis Fuller accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 7 other insurers list Ellis Fuller 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 Ellis Fuller was last updated on June 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.