Brian Scott Fuller in Minneapolis - Dentist
Brian Scott Fuller - NPI 1760674725
Brian Scott Fuller is a Dentist in Minneapolis, Minnesota. Brian Scott Fuller practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brian Scott Fuller is 1760674725. The last update date is 2007-08-14.
Brian Scott Fuller's current location address is 1920 S 1st St, Minneapolis, Minnesota. You can contact this provider via phone number 6122700885. The mailing address for Brian Scott Fuller is 1920 S 1st St, Minneapolis, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brian Scott Fuller |
|---|---|
| Address | 1920 S 1st St, Minneapolis, Minnesota |
| Phone Number | 6122700885 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1760674725 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 1920 S 1st St |
|---|---|
| City | Minneapolis |
| State | Minnesota (MN) |
| Post Code | 554541055 |
| Phone Number | 6122700885 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D12089 |
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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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What is the unique 10-digit identification code assigned to Brian Scott Fuller by the Centers for Medicare & Medicaid Services?
The Brian Scott Fuller has been issued the NPI (National Provider Identifier) 1760674725, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Brian Scott Fuller?
The Brian Scott Fuller is situated at 1920 S 1St St, in the city of Minneapolis, state of MN, with the zip code 554541055.
What is Brian Scott Fuller's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brian Scott Fuller is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did Brian Scott Fuller receive its 1760674725 assignment from the Centers for Medicare & Medicaid Services?
The Brian Scott Fuller was assigned its 1760674725 on 2007-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Brian Scott Fuller most recently updated or revised?
The information pertaining to Brian Scott Fuller, including its address, specialty, and other relevant details, was last updated or revised on 2007-08-14.
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