DR. JENNIFER L FULL DDS
NPI 1609355148
Dentist - General Practice in Fort Leonard Wood, MO

Q: What is Jennifer Full's NPI number?

The NPI number for Jennifer Full is 1609355148. It was assigned to this individual provider in the NPPES registry on August 7, 2018. The provider is also known as Dr. Jennifer L Solberg Dds.

Q: What is Jennifer Full'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 Jennifer Full was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 August 07, 2018

BOAK DENTAL CLINIC, 12720 KANSAS AVE BLDG 789, FORT LEONARD WOOD, MO 65473(706) 718-4719 Get Directions Write a Review

NPPES record last updated: March 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 18, 2021, Aug 7, 2018 (2 updates tracked since 2018).

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About Dr. Jennifer L Full Dds NPPES

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

DR. JENNIFER L FULL DDS (NPI 1609355148) is an individual general practice provider in Fort Leonard Wood, Missouri, licensed in Iowa (DDS-09585) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1609355148

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. JENNIFER L FULLCredential: DDS

Location AddressBOAK DENTAL CLINIC, 12720 KANSAS AVE BLDG 789Fort Leonard Wood, MO 65473-6547

Mailing AddressUs Army Dental Activity, 6958 Nebraska Ave Building 1608Fort Leonard Wood, MO 65473

Phone(706) 718-4719

Sole ProprietorNo

Enumeration DateAugust 7, 2018

Last NPPES UpdateMarch 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2021

✔ NPI 1609355148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in IA · DDS-09585

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.

BOAK DENTAL CLINIC, Fort Leonard Wood, MO 65473

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Other Names 1

Former Name (1)Dr. Jennifer L Solberg Dds

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 Jennifer Full's NPI number?

The NPI number for Jennifer Full is 1609355148. It was assigned to this individual provider in the NPPES registry on August 7, 2018. The provider is also known as Dr. Jennifer L Solberg Dds.

Where is Jennifer Full located?

Jennifer Full practices at Boak Dental Clinic 12720 Kansas Ave Bldg 789, Fort Leonard Wood, MO 65473. The listed phone number is (706) 718-4719.

What is Jennifer Full'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 Jennifer Full was last updated on March 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.