Richard Bruce Fuller in Eagan - General Practice
Richard Bruce Fuller - NPI 1801864087
Richard Bruce Fuller is a General Practice in Eagan, Minnesota. Richard Bruce Fuller practices all healthcare services and medical treatments related to General Practice. The NPI Number for Richard Bruce Fuller is 1801864087. The last update date is 2007-07-08.
Richard Bruce Fuller's current location address is 3324 Promenade Ave, Eagan, Minnesota. You can contact this provider via phone number 6514525511 and fax number 6514050677. The mailing address for Richard Bruce Fuller is 3324 Promenade Ave, Eagan, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard Bruce Fuller |
|---|---|
| Address | 3324 Promenade Ave, Eagan, Minnesota |
| Phone Number | 6514525511 |
| Fax Number | 6514050677 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1801864087 |
|---|---|
| Provider Enumeration Date | 2006-03-14 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3324 Promenade Ave |
|---|---|
| City | Eagan |
| State | Minnesota (MN) |
| Post Code | 551212259 |
| Phone Number | 6514525511 |
| Fax Number | 6514050677 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | D8774 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique 10-digit identifier code assigned to Richard Bruce Fuller by the Centers for Medicare & Medicaid Services?
The Richard Bruce Fuller has been issued the NPI (National Provider Identifier) 1801864087 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Richard Bruce Fuller's physical address?
The Richard Bruce Fuller is physically located at 3324 Promenade Ave, in the city of Eagan, MN, with the postal code 551212259.
What is Richard Bruce Fuller's area of expertise and its corresponding taxonomy classification?
The Richard Bruce Fuller's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Richard Bruce Fuller receive its 1801864087 assignment from the Centers for Medicare & Medicaid Services?
The Richard Bruce Fuller was assigned its 1801864087 by the Centers for Medicare & Medicaid Services on 2006-03-14.
When was the information pertaining to Richard Bruce Fuller most recently updated or revised?
The details related to Richard Bruce Fuller, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.