Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. DOMENICK FULLER, DDS
ActiveDR. DOMENICK FULLER, DDS is a General Dentistry healthcare provider located in POCATELLO, Idaho. NPI 1649063850 is currently active in the NPPES registry. Verify at CMS.
General Dentistry · POCATELLO, ID
Registration Details
- NPI Number
- 1649063850
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 28, 2025 (1.2176748036059 yrs)
- Last Updated
- Jun 4, 2025
- License
-
9271560 (ID)
Practice Information
- Address
-
921 S 8TH AVEPOCATELLO, ID, 832090002Browse ID providers · Browse ZIP 83209
- Phone
- 2082823289
- Primary Specialty
-
General Dentistry
1223G0001X
Other General Dentistry Providers in POCATELLO, ID
| Name | Credential | NPI |
|---|---|---|
| DR. RICHARD E. FELLOWS | D.D.S. | 1730139023 |
| DAVID MICHAEL SUTTON | D.D.S. | 1578517181 |
| DR. JASON ARTHUR MAUSETH | DDS | 1316968241 |
| TRAVIS BOYER | D.M.D. | 1992715304 |
| DR. KYLE JAMES SIEMEN | DMD | 1952311078 |
| MARCUS D NEFF | DDS | 1811907744 |
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.