Jon Gordon Fuller Jr., D.D.S.
General Practice Dentistry · Moab, UT
Practice location
570 W 400 NMoab, UT 84532-2236
- Phone
- (435) 259-4333
- Fax
- (435) 259-6618
NPI record
- NPI
- 1376566976
- Entity type
- Individual (Type 1)
- Enumeration date
- July 25, 2006
- Last updated
- July 8, 2007
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Dentistry Primary | 1223G0001X |
142288-9921 | UT |
About Dr. Fuller
Jon Gordon Fuller Jr., D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 570 W 400 N, Moab, UT 84532-2236. The NPI number 1376566976 was assigned on July 25, 2006 and the record was last updated on July 8, 2007.
Dr. Fuller lists a license in the registry: #142288-9921 (UT) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jon Gordon Fuller Jr., D.D.S.?
The NPI number is 1376566976.
What is the phone number of Dr. Fuller?
The phone number listed for the practice location is (435) 259-4333.
Where is Dr. Fuller located?
570 W 400 N, Moab, UT 84532-2236.
What is the taxonomy code for Dr. Fuller?
The primary taxonomy code is 1223G0001X – General Practice Dentistry.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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