Caleb Jonathon Fuller, DDS

General Practice Dentistry · Canton, MI

Individual Active NPI

NPI number 1164078960

Practice location

46592 W Oak Manor Ct
Canton, MI 48187-5230
Phone
(734) 233-4446

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NPI record

NPI
1164078960
Entity type
Individual (Type 1)
Enumeration date
August 16, 2019
Last updated
August 16, 2019
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 2901600312 MI

About Dr. Fuller

Caleb Jonathon Fuller, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 46592 W Oak Manor Ct, Canton, MI 48187-5230. The NPI number 1164078960 was assigned on August 16, 2019 and the record was last updated on August 16, 2019.

Dr. Fuller lists a license in the registry: #2901600312 (MI) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Caleb Jonathon Fuller, DDS?

The NPI number is 1164078960.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (734) 233-4446.

Where is Dr. Fuller located?

46592 W Oak Manor Ct, Canton, MI 48187-5230.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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