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IMANI JOY FULLER
NPI 1801567144
Dentist - Pediatric Dentistry in Takoma Park, MD

Active since September 27, 2021
1107 SLIGO CREEK PKWY, TAKOMA PARK, MD 20912(301) 891-7760 Get Directions Write a Review

NPPES record last updated: February 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 18, 2025, May 15, 2023, Apr 20, 2022 and 2 more (5 updates tracked since 2021).

About Imani Joy Fuller NPPES

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

IMANI JOY FULLER (NPI 1801567144) is an individual pediatric dentistry provider in Takoma Park, Maryland, licensed in Maryland (17689) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1801567144
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameIMANI JOY FULLER
Location Address1107 SLIGO CREEK PKWYTakoma Park, MD 20912-5806
Mailing Address19318 Tattershall DrGermantown, MD 20874-6245
Phone(301) 891-7760
Sole ProprietorNo
Enumeration DateSeptember 27, 2021
Last NPPES UpdateFebruary 20, 20265 updates tracked since enumeration
NPPES CertifiedFebruary 20, 2026
✔ NPI 1801567144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in MD · 17689
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
1107 SLIGO CREEK PKWY, Takoma Park, MD 20912
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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, Florida Combined Life, Humana and more.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.

MICHELE LEANN DOZIER DDS
Dentist
1107 SLIGO CREEK PKWY
TAKOMA PARK, MD 20912
Montgomery County (301) 891-7760
DOZIER DENTISTRY, P.C.
Dentist (Pediatric Dentistry)
1107 SLIGO CREEK PKWY
TAKOMA PARK, MD 20912
Montgomery County (410) 371-9359
GREGORY O. CATCHINGS DMD PA
Preferred Provider Organization
1107 SLIGO CREEK PKWY
TAKOMA PARK, MD 20912
Montgomery County (301) 891-7760
DR. JOSEPH BRUCE LATTA DDS
Dentist (Pediatric Dentistry)
1107 SLIGO CREEK PKWY
TAKOMA PARK, MD 20912
Montgomery County (301) 891-7760

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 Imani Fuller's NPI number?

The NPI number for Imani Fuller is 1801567144. It was assigned to this individual provider in the NPPES registry on September 27, 2021.

Where is Imani Fuller located?

Imani Fuller practices at 1107 Sligo Creek Pkwy, Takoma Park, MD 20912. The listed phone number is (301) 891-7760.

What is Imani Fuller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Imani Fuller accept?

Health plans from Anthem Blue Cross and Blue Shield, Florida Combined Life, Humana and UnitedHealthcare list Imani 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 Imani Fuller was last updated on February 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.