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

Imani Joy Fuller

Individual provider Pediatric Dentistry · NPI 1801567144

Imani Joy Fuller is a Pediatric Dentistry in Takoma Park, Maryland. Licensed in Maryland. Registered with an NPI since 2021.

Licensed in
MD
In the registry since
2021

Practice location Address checks out

1107 Sligo Creek Pkwy
Takoma Park, MD 20912-5806
Phone: (301) 891-7760
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 17689 (MD)

Record details

NPI number1801567144
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2021
Last updated in NPPESFebruary 20, 2026
Certification dateFebruary 20, 2026

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