Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578748125 Individual Practitioner Female Practitioner

Dr. Deborah L Fuller , DMD

Dentist • Providence, RI

Professional Overview & Biography Verified Profile Summary

Dr. Deborah Fuller, DMD is a registered healthcare professional specializing in Dentist in Providence, RI. Practice services are available at 21 PEACE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

21 Peace St

Providence, RI 029071510

Telephone 4014563000
Fax 4014563762
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Providence, RI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 2.0 Yrs
State Avg: 8.3 Yrs
Regional Practice Density
66 Specialists

Practicing in Providence, RI (280 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License RI DEN02817

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.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID License
DEN02817 (RI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
Thomas Hopkins , PA

Physician Assistant

NPI 1023083029

Physician Assistant

Christine Constantineau , CSW

Social Worker - Clinical

NPI 1023444916

Clinical Social Worker

Nilsa Rodriguez

Interpreter

NPI 1033320858
Dr. Uchechukwu Ugorji , DO

Psychiatry & Neurology - Psychiatry

NPI 1033695986

Doctor of Osteopathic Medicine (D.O.)

NPI 1043553027

Doctor of Medicine (M.D.)

Catherine Reilly , CRNA

Nurse Anesthetist, Certified Registered

NPI 1053852673

Certified Registered Nurse Anesthetist

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active January 02, 2008

NPI status registered as active in NPPES database

📍
Updated Practice Location January 02, 2008

Registered at 21 PEACE ST, PROVIDENCE, RI 029071510 (Tel: 4014563000)

📍
Updated Business Mailing Address January 02, 2008

Registered at 200 HIGH SERVICE AVE, 4TH FL MARION HALL, N PROVIDENCE, RI 029045113 (Tel: 4014563309)

👤
Provider Name / Credentials Updated January 02, 2008

Recorded as DEBORAH FULLER, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 02, 2008

Dentist (License #DEN02817 in RI)

🟢
Initial NPI Registration & Enumeration January 02, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Deborah Fuller. Be the first to share your experience!

Sign in to leave a review for Dr. Deborah Fuller

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1578748125
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 02, 2008
Last Update: January 02, 2008
Sole Proprietor: Yes

Mailing Address

200 High Service Ave, 4th Fl Marion Hall

N Providence, RI 029045113

Phone: 4014563309

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.