Individual provider · Type 1 NPI

Adam Fuller, DMD

Oral and Maxillofacial Surgery (Dentist) · Los Angeles, CA

NPI number 1194643403 Active

Practice location

714 Tiverton Ave
Los Angeles, CA 90095-8361

Call (310) 206-3904 Map

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDDS113184 (CA)

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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About NPI 1194643403

Adam Fuller, DMD's National Provider Identifier is 1194643403, issued on Jul 7, 2026. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 7, 2026.