Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1457078677 Individual Practitioner Male Practitioner

Dr. Ian Fuller , DDS

Dentist - General Practice • Alameda, CA

Professional Overview & Biography Verified Profile Summary

Dr. Ian Fuller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Alameda, CA. Practice services are available at 2241 CENTRAL AVE STE B under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2241 Central Ave Ste B

Alameda, CA 945014430

Telephone 5108654400

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Alameda, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.7 Yrs
Regional Practice Density
47 Specialists

Practicing in Alameda, CA (18734 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA DDS108278

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.

Secondary Practice Locations

1504 Alcatraz Ave

Berkeley, CA 947032610

Phone: 5106536424

2380 Monument Blvd Ste F

Pleasant Hill, CA 945233972

Phone: 9253634455

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. William Gardner , DDS

Dentist - General Practice

NPI 1093928798

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location January 08, 2025

Registered at 2241 CENTRAL AVE STE B, ALAMEDA, CA 945014430 (Tel: 5108654400)

📍
Updated Business Mailing Address January 08, 2025

Registered at 2159 ENCINAL AVE, ALAMEDA, CA 945014321

👤
Provider Name / Credentials Updated January 08, 2025

Recorded as IAN FULLER, DDS

📍
Updated Practice Location November 22, 2023

Registered at 1504 ALCATRAZ AVE, BERKELEY, CA 947032610 (Tel: 5106536424)

NPI Profile Active October 27, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 27, 2022

Registered at 1624 FRANKLIN ST STE 1220, OAKLAND, CA 946122824 (Tel: 5109248537)

📍
Updated Business Mailing Address October 27, 2022

Registered at 1403 ALLSTON WAY, BERKELEY, CA 947021922

👤
Provider Name / Credentials Updated October 27, 2022

Recorded as IAN FULLER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 27, 2022

Dentist (License #DDS108278 in CA)

🟢
Initial NPI Registration & Enumeration October 27, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457078677
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 27, 2022
Last Update: January 08, 2025
Sole Proprietor: Yes

Mailing Address

2159 Encinal Ave

Alameda, CA 945014321

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.