Individual provider · Type 1 NPI
Norman Dartt Fuller Iii, DDS
Periodontics · San Jose, CA
NPI number
1154549988
Active
Practice location
1701 Lundy Ave Ste 150
San Jose, CA 95131-1858
Fax (408) 437-8898
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 38285 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1154549988
Norman Dartt Fuller Iii, DDS's National Provider Identifier is 1154549988, issued on Apr 24, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Jose, CA. The record was last updated on Jun 13, 2015.