Fuller, Richard Bruce
Fuller, Richard Bruce is an individual health care provider with primary practice located at 3324 Promenade Ave Suite 101, Eagan MN 55121-2259. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fuller, Richard Bruce can be contacted via phone (651) 452-5511.Contact Information
Primary practice address
3324 Promenade Ave Suite 101
Eagan MN 55121-2259
Phone: (651) 452-5511
Fax: (651) 405-0677
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | D8774 | Minnesota |
Profile Details
| NPI number | 1801864087 |
|---|---|
| LBN Legal business name | Fuller, Richard Bruce |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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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