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

TaxonomyCodeLicense
Periodontics Primary 1223P0300X38285 (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.