DR. JON GORDON FULLER JR. D.D.S.
NPI 1376566976
Dentist - General Practice in Moab, UT

Q: What is Jon Fuller's NPI number?

The NPI number for Jon Fuller is 1376566976. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Q: What is Jon Fuller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Jon Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.

Active since July 25, 2006

570 W 400 N, MOAB, UT 84532(435) 259-4333(435) 259-6618 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Jon Gordon Fuller Jr. D.d.s. NPPES

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

DR. JON GORDON FULLER JR. D.D.S. (NPI 1376566976) is an individual general practice provider in Moab, Utah, licensed in Utah (142288-9921) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1376566976

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JON GORDON FULLER JR.Credential: D.D.S.

Location Address570 W 400 NMoab, UT 84532-2236

Mailing Address570 W 400 NMoab, UT 84532-2236 · (435) 259-4333 · Fax (435) 259-6618

Phone(435) 259-4333

Fax(435) 259-6618

Sole ProprietorNo

Enumeration DateJuly 25, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1376566976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in UT · 142288-9921

Definition

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.

570 W 400 N, Moab, UT 84532

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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 Jon Fuller's NPI number?

The NPI number for Jon Fuller is 1376566976. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Jon Fuller located?

Jon Fuller practices at 570 W 400 N, Moab, UT 84532. The listed phone number is (435) 259-4333.

What is Jon Fuller's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jon Fuller was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.