Dr. Norman Dartt Fuller III
Periodontist
1701 Lundy Ave Ste 150
San Jose
, California 95131-1858
Dr. Norman Dartt Fuller III
Periodontist
1701 Lundy Ave Ste 150
San Jose
, California 95131-1858
(408) 437-8898
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Norman Dartt Fuller III
- 1701 Lundy Ave Ste 150
- San Jose, CA
- Zip : 95131-1858
- Fax : (408) 437-8898
- Phone : (408) 437-8999
Second Address
- Dr. Norman Dartt Fuller III
- 1701 Lundy Ave Ste 150
- San Jose, CA
- Zip : 95131-1858
- Fax : (408) 437-8898
- Phone : (408) 437-8999
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 38285 | CA |
National Provider Identifier
| NPI | 1154549988 |
|---|---|
| Provider Name | Dr. Norman Dartt Fuller III |
| First Address | San Jose, CA 95131-1858 |
| Second Address | San Jose, CA 95131-1858 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/04/2007 |
| Last Update Date | 13/06/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.