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IndividualActive

Kelly Grace Fuller

RDH

Dental Hygienist

NPI: 1104696152Enterprise, Oregon, 97828(541) 426-4502Female

About Kelly Grace Fuller

Kelly Grace Fuller, RDH, is a female healthcare professional specializing in Dental Hygienist, registered under National Provider Identifier (NPI) number 1104696152. Their primary practice is located at 603 MEDICAL PKWY, Enterprise, Oregon 97828.

Patients can reach the office at (541) 426-4502. Kelly Grace Fuller has been NPI-registered since 2024.

Doctor Details

Identity & Credentials

NPI Number
1104696152
Entity Type
Individual
First Name
Kelly
Last Name
Fuller
Credential
RDH
Gender
Female
Sole Proprietor
No
Status
active

Primary Practice Location

Address
603 MEDICAL PKWY
City
Enterprise
State
Oregon
ZIP
97828-5124
Country
United States
Phone
(541) 426-4502
Fax
(541) 426-6403

Specialty & Taxonomy

Primary Specialty
Dental Hygienist
Classification
Dental Hygienist
Taxonomy Code
124Q00000X

NPI Registration

Enumeration Date
Last Updated
Certification Date

Mailing Address

Address
603 MEDICAL PKWY
City
ENTERPRISE
State
OR
ZIP
978285124

Medicare Enrollment

Medicare Enrolled
No
Can Order/Refer
No
Telehealth
No
Excluded
No

Frequently Asked Questions

What is Kelly Grace Fuller's NPI number?
Kelly Grace Fuller's National Provider Identifier (NPI) is 1104696152. An NPI is a unique 10-digit identification number issued by the Centers for Medicare & Medicaid Services (CMS) to healthcare providers in the United States.
What does Kelly Grace Fuller specialize in?
Kelly Grace Fuller specializes in Dental Hygienist.
Where is Kelly Grace Fuller located?
Kelly Grace Fuller practices at 603 MEDICAL PKWY, Enterprise, Oregon 97828. You can reach them by phone at (541) 426-4502.
Does Kelly Grace Fuller accept Medicare?
Based on available data, Kelly Grace Fuller is not currently enrolled in the Medicare program.
Does Kelly Grace Fuller offer telehealth or virtual visits?
Kelly Grace Fuller does not currently offer telehealth services. In-person visits are required at their practice location.

What is an NPI Number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to healthcare providers in the United States by the Centers for Medicare & Medicaid Services (CMS). Required under HIPAA, every healthcare provider who transmits health information electronically must have an NPI. The NPI for Kelly Grace Fuller is 1104696152.