Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Crystal G Fuller, DDS

Individual provider Dentist · NPI 1558988055

Dr. Crystal G Fuller, DDS is a Dentist in Macon, Georgia. Practices as a sole proprietor. Licensed in Georgia and Tennessee.

Licensed in
GA, TN
In the registry since
2020
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

446 Shadeland Pl
Macon, GA 31206-5225
Phone: (478) 718-1314
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN122534 (GA)
Dentist Taxonomy 122300000X · Licence 11374 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1558988055
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedJune 30, 2020
Last updated in NPPESJuly 27, 2023
Certification dateJuly 27, 2023
Mailing address446 Shadeland Pl, Macon, GA 31206-5225

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