Individual provider · Type 1 NPI

Jon Gordon Fuller Jr., DDS

General Practice Dentistry · Moab, UT

NPI number 1376566976 Active

Practice location

570 W 400 N
Moab, UT 84532-2236

Call (435) 259-4333 Map

Fax (435) 259-6618

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X142288-9921 (UT)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1376566976

Jon Gordon Fuller Jr., DDS's National Provider Identifier is 1376566976, issued on Jul 25, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Moab, UT. The record was last updated on Jul 8, 2007.