Individual provider · Type 1 NPI

Richard Bruce Fuller, DDS

General Practice Dentistry · Eagan, MN

NPI number 1801864087 Active

Practice location

3324 Promenade Ave, Suite 101
Eagan, MN 55121-2259

Call (651) 452-5511 Map

Fax (651) 405-0677

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD8774 (MN)

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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About NPI 1801864087

Richard Bruce Fuller, DDS's National Provider Identifier is 1801864087, issued on Mar 14, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Eagan, MN. The record was last updated on Jul 13, 2026.