Fuller, David Allen

Fuller, David Allen is an individual health care provider with primary practice located at 2250 Ne Professional Ct. , Bend OR 97701-6063. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fuller, David Allen can be contacted via phone (541) 388-1434.

Contact Information

Primary practice address
2250 Ne Professional Ct. Bend OR 97701-6063
Fax: (541) 388-1293
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5954 Oregon

Profile Details

NPI number 1275590101
LBN Legal business name Fuller, David Allen
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Feb 27th, 2014 - about 10 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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