DR. ELLIS LAMAR FULLER (D.D.S) – Dentist, NPI 1366466286

DR. ELLIS LAMAR FULLER (D.D.S) is a healthcare provider. based in Lake mary, Florida. specializing in Dentist. They hold the professional credentials D.D.S. They hold a License No. DN15405 (FL). The NPI Number for DR. ELLIS LAMAR FULLER (D.D.S) is 1366466286

Main info

Male
Name
DR. ELLIS LAMAR FULLER (D.D.S)
NPI
1366466286
Phone
(407) 330-3801
Address
114 TIMBERLACHEN CIR
Enumeration Date
26 July 2006
Last Update Date
26 June 2012
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for DR. ELLIS LAMAR FULLER (D.D.S)

  • 114 TIMBERLACHEN CIR

    LAKE MARY, FL 327463395

    Phone: (407) 330-3801

    Fax: (407) 330-5739

    Type: Location

  • 1287, Blessing Street, Enclave at Maitland, Maitland, Orange County, Florida, 32751, United States

    MAITLAND, FL 327514260

    Phone: (407) 838-0101

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $79.

Total Amount is formed as General ($79) + Research ($0) + Ownership ($0) = $79.

Last reported payment date: 2024-12-31 • Largest payer in this snapshot: OraPharma, a division of Bausch Health US, LLC ($41).

Total Amount

$79

General + Research + Ownership

Payments

4

Total payment records

General Amount

$79

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-31

Latest reported date

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32746)

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Reviews

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Frequently asked questions

Does DR. ELLIS LAMAR FULLER (D.D.S) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. ELLIS LAMAR FULLER (D.D.S) uses 1366466286.
Is DR. ELLIS LAMAR FULLER (D.D.S) listed as active for patients and plans?
The listing shows DR. ELLIS LAMAR FULLER (D.D.S) as active in the NPI system.
What is DR. ELLIS LAMAR FULLER (D.D.S)'s primary classification?
Dentist is the headline specialty for DR. ELLIS LAMAR FULLER (D.D.S) here. Clinical services aligned with this taxonomy classification.
What area does DR. ELLIS LAMAR FULLER (D.D.S) serve?
DR. ELLIS LAMAR FULLER (D.D.S)'s listing highlights Lake Mary, Florida; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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