C Fredrick Fuller is a Dentist in Des Moines, Iowa. C Fredrick Fuller practices all healthcare services and medical treatments related to Dentist. The NPI Number for C Fredrick Fuller is 1902938699. The last update date is 2007-07-08.
C Fredrick Fuller's current location address is 3223 E 29th St, Des Moines, Iowa. You can contact this provider via phone number 5152662128. The mailing address for C Fredrick Fuller is 3223 E 29th St, Des Moines, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | C Fredrick Fuller |
|---|---|
| Address | 3223 E 29th St, Des Moines, Iowa |
| Phone Number | 5152662128 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1902938699 |
|---|---|
| Provider Enumeration Date | 2007-03-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3223 E 29th St |
|---|---|
| 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 | 5913 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 841112 | IA | UNITED CONCORDIA | |
| 119784 | IA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to C Fredrick Fuller?
The C Fredrick Fuller has been issued the NPI (National Provider Identifier) 1902938699 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where C Fredrick Fuller is physically located?
The C Fredrick Fuller is situated at the following address: 3223 E 29Th St, Des Moines, IA 50317.
What is the C Fredrick Fuller's area of specialization and corresponding taxonomy classification?
The C Fredrick Fuller's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1902938699 to C Fredrick Fuller?
The Centers for Medicare & Medicaid Services originally issued the 1902938699 to C Fredrick Fuller on 2007-03-09.
When was the information related to C Fredrick Fuller most recently updated or refreshed?
The details pertaining to the C Fredrick Fuller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.