Fuller, Steven Craig
Fuller, Steven Craig is an sole proprietor health care provider with primary practice located at 2822 E 29Th St , Des Moines IA 50317-8720. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Fuller, Steven Craig can be contacted via phone (515) 266-3437.Contact Information
Primary practice address
2822 E 29Th St
Des Moines IA 50317-8720
Phone: (515) 266-3437
Fax: (515) 266-4313
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 07485 | Iowa |
Profile Details
| NPI number | 1770629339 |
|---|---|
| LBN Legal business name | Fuller, Steven Craig |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770629339 | NPPES |
| Iowa | MEDICAID | 0168088 |
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