NPI
Jennifer Renee Fuller
NPI 1831364108
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- DDS
- Type
- Individual
- Enumeration date
- 2008-04-28
- Last updated
- 2023-02-16
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Specialties
Licenses
- License MI
- 2901017660
Location
- Practice location
- 334 Livernois St
- City
- Ferndale MI
- Postal code
- 48220-2302
- Phone
- (313) 864-9110
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Ferndale, MI. 721 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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