OrganizationActive
Dr. Joseph W. Fuller
NPI 1407990609 · General Practice Dentistry · Perry, FL
Provider details
- NPI number
- 1407990609
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Joseph Fuller, Dentist(850) 584-4613
- License
- DN008166 (FL)
Specialties & taxonomies
Dental Providers
Practice location
1204 N Center St
Perry, FL 32347-2038
Phone: (850) 584-4613
Fax: (850) 584-9009
Approximate (ZIP-level) locationGet directions
Mailing address
1204 N Center St
Perry, FL 32347-2038
Registry dates
- Enumerated
- 2007-02-19
- Last updated
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.