Fuller, David Allen
Fuller, David Allen is an individual health care provider with primary practice located at 2250 Ne Professional Ct. , Bend OR 97701-6063. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fuller, David Allen can be contacted via phone (541) 388-1434.Contact Information
Primary practice address
2250 Ne Professional Ct.
Bend OR 97701-6063
Phone: (541) 388-1434
Fax: (541) 388-1293
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 5954 | Oregon |
Profile Details
| NPI number | 1275590101 |
|---|---|
| LBN Legal business name | Fuller, David Allen |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Feb 27th, 2014 - about 12 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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