Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JON GORDON FULLER JR., D.D.S.
ActiveDR. JON GORDON FULLER JR., D.D.S. is a General Dentistry healthcare provider located in MOAB, Utah. NPI 1376566976 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · MOAB, UT
Registration Details
- NPI Number
- 1376566976
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2006 (20.015168603531 yrs)
- Last Updated
- Jul 8, 2007
- License
-
142288-9921 (UT)
Practice Information
- Address
-
570 W 400 NMOAB, UT, 845322236Browse UT providers · Browse ZIP 84532
- Phone
- 4352594333
- Fax
- 4352596618
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in MOAB, UT
| Name | Credential | NPI |
|---|---|---|
| GREGORY J GORMAN | DMD | 1396778312 |
| NORMAN C BARBER | D.M.D. | 1073548814 |
| DR. COLLEEN CORNELIUS | DDS | 1376698316 |
| DR. JEFFERY CORNELIUS | DMD | 1376698324 |
| MERRILL M. HUGENTOBLER | D.D.S | 1548304496 |
| CHRISTOPHER FLINT | DMD | 1013393248 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.