DR. Domenick Fuller, DDS

NPI #1649063850 in Pocatello, Idaho

Provider Information

NPI Number: 1649063850
Entity Type: Individual
Name: DR. Domenick Fuller, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: May 28, 2025
Last Updated: Jun 4, 2025

Practice Location

Address: 921 S 8TH AVE
City: Pocatello
State: Idaho
ZIP Code: 83209-0002
Phone: (208) 282-3289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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