Individual provider · Type 1 NPI
Benjamin Luke Fuller, DDS
Oral and Maxillofacial Surgery (Dentist) · Cedar Rapids, IA
Practice location
835 3rd Ave SW
Cedar Rapids, IA 52404-1810
Fax (319) 366-7091
Mailing address
2825 Rosebay Ct
Cedar Rapids, IA 52411-4701
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 6128 (OK) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | 08986 (IA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Other oral and maxillofacial surgery (dentist) providers in Cedar Rapids
- James R. Tagoni, DMDOral and Maxillofacial Surgery (Dentist) Cedar Rapids, IA NPI 1073834248
- Daniel S. Sarasin, DDSOral and Maxillofacial Surgery (Dentist) Cedar Rapids, IA NPI 1518943174
- Kurt Jeffrey Westlund, DDS MSOral and Maxillofacial Surgery (Dentist) Cedar Rapids, IA NPI 1821074477
- Kevin Nowins, DMDOral and Maxillofacial Surgery (Dentist) Cedar Rapids, IA NPI 1861848400
- John R. Van Heukelom, DDS MSOral and Maxillofacial Surgery (Dentist) Cedar Rapids, IA NPI 1891771960
About NPI 1689802910
Benjamin Luke Fuller, DDS's National Provider Identifier is 1689802910, issued on Jun 25, 2009. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Cedar Rapids, IA. The record was last updated on Jul 2, 2013.