NPI 1194024190

Andrew M Read-Fuller

Practitioner Oral & Maxillofacial Surgery (D.M.D.) Dallas, TX

Practice location

Address: 3302 Gaston Ave, Dallas, TX 75246-2013
Phone: (212) 828-8965
Mailing address: 1855 Payne St APT 619, Dallas, TX 75201-2577

Registered specialties

Oral & Maxillofacial Surgery (D.M.D.) Primary

Allopathic & Osteopathic Physicians Taxonomy 204E00000X Licence R2208 (TX)

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Registry record

NPI: 1194024190
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2011
Record last updated: 4 Feb 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.