Fuller, Benjamin Luke
Fuller, Benjamin Luke is an individual health care provider with primary practice located at 835 3Rd Ave Sw , Cedar Rapids IA 52404-1810. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Fuller, Benjamin Luke can be contacted via phone (319) 366-8377.Contact Information
Primary practice address
835 3Rd Ave Sw
Cedar Rapids IA 52404-1810
Phone: (319) 366-8377
Fax: (319) 366-7091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 6128 | Oklahoma |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 08986 | Iowa |
Profile Details
| NPI number | 1689802910 |
|---|---|
| LBN Legal business name | Fuller, Benjamin Luke |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Jul 2nd, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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