Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669964003 Individual Practitioner Female Practitioner

Dr. Tayler Danyelle Fuller , DDS

Dentist - General Practice • Omaha, NE

Professional Overview & Biography Verified Profile Summary

Dr. Tayler Fuller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Omaha, NE. Practice services are available at 2602 J ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2602 J St

Omaha, NE 681071643

Telephone 4027331325
Associated Practice Facility / Clinic
🏢 Ponca Tribe Of Nebraska Facility NPI 1710172879

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Omaha, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 13.8 Yrs
State Avg: 19.2 Yrs
Regional Practice Density
282 Specialists

Practicing in Omaha, NE (832 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

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NE 7461

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 - General Practice

NUCC Taxonomy Code: 1223G0001X

State License IA DDS-09543

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

11110 Fort St Ste 106

Omaha, NE 681642183

Phone: 4024928300

1509 Avenue G

Council Bluffs, IA 515012516

Phone: 7123251544

214 E Erie St

Missouri Valley, IA 51555

Phone: 7126423491

Practice Associates & Co-Workers

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

7 Associated Practitioners
NPI 1023213048

DENTALASSISTANT

Joanne Gilley , RDH

Dental Hygienist

NPI 1184829186

Registered Dental Hygienist

Jami Kelly , RDH

Dental Hygienist

NPI 1205190766

Registered Dental Hygienist

Lorri Mckean , RDH

Dental Hygienist

NPI 1205335502

Registered Dental Hygienist

Kathleen Narlock , RDH

Dental Hygienist

NPI 1437395902

Registered Dental Hygienist

Sherry Gerlock , RDH

Dental Hygienist

NPI 1851598601

Registered Dental Hygienist

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location April 09, 2019

Registered at 2602 J ST, OMAHA, NE 681071643 (Tel: 4027331325)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2019

Dentist (License #DDS-09543 in IA)

📍
Updated Practice Location July 23, 2018

Registered at 214 E ERIE ST, MISSOURI VALLEY, IA 51555 (Tel: 7126423491)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 23, 2018

Dentist (License #7461 in NE)

📍
Updated Practice Location June 26, 2018

Registered at 1509 AVENUE G, COUNCIL BLUFFS, IA 51501 (Tel: 7123251544)

NPI Profile Active June 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location June 01, 2018

Registered at 1509 AVENUE G, COUNCIL BLUFFS, IA 515012516 (Tel: 7123251544)

📍
Updated Business Mailing Address June 01, 2018

Registered at 2537 S 3RD STREET PLZ, OMAHA, NE 681081709 (Tel: 2085536977)

👤
Provider Name / Credentials Updated June 01, 2018

Recorded as TAYLER FULLER, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 01, 2018

Dentist (License #DDS-09543 in IA)

🟢
Initial NPI Registration & Enumeration June 01, 2018

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: 1669964003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 01, 2018
Last Update: April 09, 2019
Sole Proprietor: Yes

Mailing Address

2537 S 3rd Street Plz

Omaha, NE 681081709

Phone: 2085536977

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.