Caleb Jonathon Fuller, DDS
Dentist, General Practice in Canton, MI. Individual provider (NPI-1).
NPI number1164078960
StatusActive
Last updated in NPPESAug 16, 2019
Details
- NPI
- 1164078960
- Entity type
- Individual (NPI-1)
- Name
- Caleb Jonathon Fuller
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2019
- Last updated
- Aug 16, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 2901600312 | MI | Yes |
Practice location
46592 W Oak Manor CtCanton, MI 48187-5230
Phone 734-233-4446
Mailing address
46592 W Oak Manor CtCanton, MI 48187-5230
Phone 734-233-4446
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All 90 General Practice Dentistry providers in Canton · All 2,409 providers in Canton
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