Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1558988055 Individual Practitioner Female Practitioner

Dr. Crystal G Fuller , DDS

Dentist - General Practice • Macon, GA

Professional Overview & Biography Verified Profile Summary

Dr. Crystal Fuller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Macon, GA. Practice services are available at 446 SHADELAND PL under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

446 Shadeland Pl

Macon, GA 312065225

Telephone 4787181314

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Macon, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 45.0 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
65 Specialists

Practicing in Macon, GA (3302 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: 2023-07-27
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN122534

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TN 11374

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location July 27, 2023

Registered at 446 SHADELAND PL, MACON, GA 312065225 (Tel: 4787181314)

📍
Updated Business Mailing Address August 24, 2021

Registered at 446 SHADELAND PL, MACON, GA 312065225 (Tel: 4787181314)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2021

Dentist (License #11374 in TN)

NPI Profile Active June 30, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2020

Registered at 1005 DR DB TODD JR BLVD, NASHVILLE, TN 372083501 (Tel: 6153275973)

📍
Updated Business Mailing Address June 30, 2020

Registered at 45 VANTAGE WAY APT 3101, NASHVILLE, TN 372281647 (Tel: 4787181314)

👤
Provider Name / Credentials Updated June 30, 2020

Recorded as CRYSTAL FULLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 30, 2020

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: 1558988055
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2020
Last Update: July 27, 2023
Sole Proprietor: Yes

Mailing Address

446 Shadeland Pl

Macon, GA 312065225

Phone: 4787181314

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.