IndividualActive
Tayler Fuller, DDS
NPI 1669964003 · General Practice Dentistry · Omaha, NE
Provider details
- NPI number
- 1669964003
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- License
- DDS-09543 (IA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2602 J St
Omaha, NE 68107-1643
Phone: (402) 733-1325
Street-level locationGet directions
Mailing address
2537 S 3rd Street Plz
Omaha, NE 68108-1709
Additional practice locations (3)
- 1509 Avenue GCouncil Bluffs, IA 51501-2516Phone: (712) 325-1544
- 214 E Erie StMissouri Valley, IA 51555Phone: (712) 642-3491
- 11110 Fort St Ste 106Omaha, NE 68164-2183Phone: (402) 492-8300
Registry dates
- Enumerated
- 2018-06-01
- Last updated
- 2019-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.