ANNA TYSON FULLER D.M.D.
NPI 1417152190
Dentist - General Practice in Columbia, SC

Active since June 20, 2007
6420 GARNERS FERRY RD STE X, COLUMBIA, SC 29209(803) 528-8351 Get Directions Write a Review

NPPES record last updated: April 22, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anna Tyson Fuller D.m.d. NPPES

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

ANNA TYSON FULLER D.M.D. (NPI 1417152190) is an individual general practice provider in Columbia, South Carolina, licensed in South Carolina (4334) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1417152190
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameANNA TYSON FULLERCredential: D.M.D.
Location Address6420 GARNERS FERRY RD STE XColumbia, SC 29209-1632
Mailing Address6420 Garners Ferry Rd Ste XColumbia, SC 29209-1632 · (803) 661-8412
Sole ProprietorNo
Enumeration DateJune 20, 2007
Last NPPES UpdateApril 22, 2023
NPPES CertifiedApril 22, 2023
NPI 1417152190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in SC · 4334
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

6420 GARNERS FERRY RD STE X, Columbia, SC 29209

Accepted Insurance

Other Providers at the Same Location NPPES 4

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

Dentist (General Practice)
6420 GARNERS FERRY RD STE X
COLUMBIA, SC 29209
Dentist (General Practice)
6420 GARNERS FERRY RD STE X
COLUMBIA, SC 29209
Dentist (General Practice)
6420 GARNERS FERRY RD STE X
COLUMBIA, SC 29209
Dentist (General Practice)
6420 GARNERS FERRY RD STE X
COLUMBIA, SC 29209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417152190, enumerated as an "individual" on June 20, 2007.

The provider is located at 6420 GARNERS FERRY RD STE X COLUMBIA, SC 29209 and the phone number is (803) 528-8351.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter of. Please consult your insurance carrier or call the provider to verify.