Fuller, Clayton Scott
Fuller, Clayton Scott is an sole proprietor health care provider with primary practice located at 589 3Rd Ave , Chula Vista CA 91910-5619. He recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as his primary health care specialty. Fuller, Clayton Scott can be contacted via phone (619) 422-3223.Contact Information
Primary practice address
589 3Rd Ave
Chula Vista CA 91910-5619
Phone: (619) 422-3223
Fax: (619) 422-7777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 34101 | California |
Profile Details
| NPI number | 1891821765 |
|---|---|
| LBN Legal business name | Fuller, Clayton Scott |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891821765 | NPPES |
| California | Other | B34101-01 | DENTI-CAL |
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