Adam Fredrick Fuller in Des Moines - Dentist
Adam Fredrick Fuller - NPI 1578688545
Adam Fredrick Fuller is a Dentist in Des Moines, Iowa. Adam Fredrick Fuller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Adam Fredrick Fuller is 1578688545. The last update date is 2007-07-08.
Adam Fredrick Fuller's current location address is 3223 E 29th Street, Des Moines, Iowa. You can contact this provider via phone number 5152662128. The mailing address for Adam Fredrick Fuller is 3223 E 29th Street, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Adam Fredrick Fuller |
|---|---|
| Address | 3223 E 29th Street, Des Moines, Iowa |
| Phone Number | 5152662128 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1578688545 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3223 E 29th Street |
|---|---|
| City | Des Moines |
| State | Iowa (IA) |
| Post Code | 50317 |
| Phone Number | 5152662128 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 8213 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1649447 | IA | UNITED CONCORDIA | |
| 421883 | IA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Adam Fredrick Fuller by the Centers for Medicare & Medicaid Services (CMS)?
The Adam Fredrick Fuller has been assigned the NPI (National Provider Identifier) 1578688545. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Adam Fredrick Fuller is physically located?
The Adam Fredrick Fuller is situated at the following address: 3223 E 29Th Street, Des Moines, IA 50317.
What is the Adam Fredrick Fuller's specialty and taxonomy code?
The Adam Fredrick Fuller's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1578688545 to Adam Fredrick Fuller?
The Centers for Medicare & Medicaid Services assigned the 1578688545 to Adam Fredrick Fuller on 2007-03-20.
As of what date were the details related to Adam Fredrick Fuller most recently updated or revised?
The information pertaining to Adam Fredrick Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.