Individual
DR. J. BARDEN FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1090 MERIDEN WATERBURY TURNPIKE, SUITE 2, PLANTSVILLE, CT 06479-2055
(860) 426-0997
(860) 426-0669
Mailing address
1090 MERIDEN-WATERBURY TPKE, SUITE 2, PLANTSVILLE, CT 06479
(860) 426-0997
(860) 426-0669
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5960
CT
Other
Enumeration date
01/29/2007
Last updated
05/25/2016
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