Brian Scott Fuller, D.D.S.

Dentist · Minneapolis, MN

Individual Active NPI

NPI number 1760674725

Practice location

1920 S 1st St
1509
Minneapolis, MN 55454-1055
Phone
(612) 270-0885

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NPI record

NPI
1760674725
Entity type
Individual (Type 1)
Enumeration date
August 14, 2007
Last updated
August 14, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X D12089 MN
Dentist 122300000X 2199 MT

About Dr. Fuller

Brian Scott Fuller, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 1920 S 1st St, 1509, Minneapolis, MN 55454-1055. The NPI number 1760674725 was assigned on August 14, 2007 and the record was last updated on August 14, 2007.

Dr. Fuller lists 2 licenses in the registry: #D12089 (MN) for Dentist; #2199 (MT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Brian Scott Fuller, D.D.S.?

The NPI number is 1760674725.

What is the phone number of Dr. Fuller?

The phone number listed for the practice location is (612) 270-0885.

Where is Dr. Fuller located?

1920 S 1st St, 1509, Minneapolis, MN 55454-1055.

What is the taxonomy code for Dr. Fuller?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

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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