Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073730784 Individual Practitioner Male Practitioner

Dr. Bradley Fuller , DDS

Dentist - General Practice • Gresham, OR

Professional Overview & Biography Verified Profile Summary

Dr. Bradley Fuller, DDS is a registered healthcare professional specializing in Dentist - General Practice in Gresham, OR. Practice services are available at 2458 SE BURNSIDE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2458 Se Burnside Rd

Gresham, OR 970801247

Telephone 5036668045

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Gresham, OR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 20.0 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
43 Specialists

Practicing in Gresham, OR (1994 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 OR D7229

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Christopher Fellows , DDS

Dentist - Prosthodontics

NPI 1447379581

Doctor of Dental Surgery

NPI 1619255809

Doctor of Dental Medicine

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 2458 SE BURNSIDE RD, GRESHAM, OR 970801247 (Tel: 5036668045)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2458 SE BURNSIDE RD, GRESHAM, OR 970801247 (Tel: 5036668045)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as BRADLEY FULLER, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #D7229 in OR)

🟢
Initial NPI Registration & Enumeration April 20, 2007

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: 1073730784
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2007
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

2458 Se Burnside Rd

Gresham, OR 970801247

Phone: 5036668045

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.