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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

DR. ADAM FULLER DMD
NPI 1194643403
Dentist - Oral and Maxillofacial Surgery in Los Angeles, CA

Active since July 07, 2026
714 TIVERTON AVE, LOS ANGELES, CA 90095(310) 206-3904 Get Directions Write a Review

NPPES record added: July 7, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Adam Fuller Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ADAM FULLER DMD (NPI 1194643403) is an individual oral and maxillofacial surgery provider in Los Angeles, California, licensed in California (DDS113184) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1194643403
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ADAM FULLERCredential: DMD
Location Address714 TIVERTON AVELos Angeles, CA 90095-8361
Mailing Address714 Tiverton AveLos Angeles, CA 90095-8361 · (310) 206-3904
Phone(310) 206-3904
Sole ProprietorNo
Enumeration DateJuly 7, 2026
NPPES CertifiedJuly 7, 2026
✔ NPI 1194643403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · DDS113184
Definition
An oral and maxillofacial surgery dentist specialized in 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.
714 TIVERTON AVE, Los Angeles, CA 90095
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEGA MOGHADAM HAJIAN
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789
DR. MYUNG S CHA DDS
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-6510
ARYEH JULIUS IOSIF
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-5619
DR. JEREMIAH WARREN DDS
Dentist
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
JONATHAN JOSEPH KOREL
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 206-3904
DR. YATING PRISCILLA YOUNG DDS
Dentist (Periodontics)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-3795
DR. AIDA SHADRAV DMD
Dentist (Pediatric Dentistry)
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 825-9789
LIANA H SHEILY
Student in an Organized Health Care Education/Training Program
714 TIVERTON AVE
LOS ANGELES, CA 90095
Los Angeles County (310) 794-5750

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Adam Fuller's NPI number?

The NPI number for Adam Fuller is 1194643403. It was assigned to this individual provider in the NPPES registry on July 7, 2026.

Where is Adam Fuller located?

Adam Fuller practices at 714 Tiverton Ave, Los Angeles, CA 90095. The listed phone number is (310) 206-3904.

What is Adam Fuller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Adam Fuller was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.