Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN LUKE FULLER, D.D.S.
ActiveDR. BENJAMIN LUKE FULLER, D.D.S. is a Oral & Maxillofacial Surgery healthcare provider located in CEDAR RAPIDS, Iowa. NPI 1689802910 is currently active in the NPPES registry. Verify at CMS.
Oral & Maxillofacial Surgery · CEDAR RAPIDS, IA
Registration Details
- NPI Number
- 1689802910
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 25, 2009 (17.102176606058 yrs)
- Last Updated
- Jul 2, 2013
- Licenses
-
6128 (OK)08986 (IA)
Practice Information
- Address
-
835 3RD AVE SWCEDAR RAPIDS, IA, 524041810Browse IA providers · Browse ZIP 52404
- Phone
- 3193668377
- Fax
- 3193667091
- Primary Specialty
-
Oral & Maxillofacial Surgery
1223S0112X
- Additional Specialty
- Oral & Maxillofacial Surgery
Other Oral & Maxillofacial Surgery Providers in CEDAR RAPIDS, IA
| Name | Credential | NPI |
|---|---|---|
| DANIEL S SARASIN | DDS | 1518943174 |
| KURT JEFFREY WESTLUND | DDS MS | 1821074477 |
| JOHN R VAN HEUKELOM | DDS MS | 1891771960 |
| DR. LARRY A MCCRAY | D.D.S. | 1083644454 |
| JAMES R TAGONI | DMD | 1073834248 |
| DR. KEVIN NOWINS | D.M.D. | 1861848400 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.