IndividualActive
Benjamin Fuller, D.D.S.
NPI 1689802910 · Oral and Maxillofacial Surgery (Dentist) · Cedar Rapids, IA
Provider details
- NPI number
- 1689802910
- Entity type
- Individual
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)Dental Providers
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- No
- License
- 6128 (OK)
Specialties & taxonomies
Dental Providers
Dental Providers
Practice location
835 3rd Ave Sw
Cedar Rapids, IA 52404-1810
Phone: (319) 366-8377
Fax: (319) 366-7091
Approximate (ZIP-level) locationGet directions
Mailing address
2825 Rosebay Ct
Cedar Rapids, IA 52411-4701
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2013-07-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.