C Fredrick Fuller

Dentist · Des Moines, IA

Individual Active NPI

NPI number 1902938699

Practice location

3223 E 29TH St
Des Moines, IA 50317
Phone
(515) 266-2128

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NPI record

NPI
1902938699
Entity type
Individual (Type 1)
Enumeration date
March 9, 2007
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 5913 IA

About C Fuller

C Fredrick Fuller is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 3223 E 29TH St, Des Moines, IA 50317. The NPI number 1902938699 was assigned on March 9, 2007 and the record was last updated on July 8, 2007.

C Fuller lists a license in the registry: #5913 (IA) 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 C Fredrick Fuller?

The NPI number is 1902938699.

What is the phone number of C Fuller?

The phone number listed for the practice location is (515) 266-2128.

Where is C Fuller located?

3223 E 29TH St, Des Moines, IA 50317.

What is the taxonomy code for C Fuller?

The primary taxonomy code is 122300000X – Dentist.

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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