DR. BENJAMIN LUKE FULLER D.D.S. NPI 1689802910

NPI Information

DR. Benjamin Luke Fuller, D.D.S. is an oral and maxillofacial surgery dentist in Cedar Rapids, IA. The provider is an oral and maxillofacial surgery dentist specialized in 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. DR. Benjamin Luke Fuller, D.D.S. NPI is 1689802910. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

835 3RD AVE SW
CEDAR RAPIDS, IA
ZIP 52404-810
Phone: (319) 366-8377
Fax: (319) 366-7091

The enumeration date for this NPI number is 6/25/2009 and was last updated on 7/2/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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