Individual provider · Type 1 NPI
Caleb Jonathon Fuller, DDS
General Practice Dentistry · Canton, MI
NPI number
1164078960
Active
Practice location
46592 W Oak Manor Ct
Canton, MI 48187-5230
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 2901600312 (MI) |
General Practice Dentistry: 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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- Jane E. Bancuk, DDSGeneral Practice Dentistry Canton, MI NPI 1093928046
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About NPI 1164078960
Caleb Jonathon Fuller, DDS's National Provider Identifier is 1164078960, issued on Aug 16, 2019. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Canton, MI. The record was last updated on Aug 16, 2019.