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MARISSA MAY FULLER
NPI 1811774961
Dentist - General Practice in Prescott Valley, AZ

Active since September 12, 2023
3264 N GLASSFORD HILL RD STE A, PRESCOTT VALLEY, AZ 86314(928) 759-8000 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Marissa May Fuller NPPES

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

MARISSA MAY FULLER (NPI 1811774961) is an individual general practice provider in Prescott Valley, Arizona, licensed in Arizona (D011954) and active in the NPI registry since September 2023. She maintains a secondary practice location in Bagdad.

NPPES Registry Identity

NPI1811774961
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMARISSA MAY FULLER
Location Address3264 N GLASSFORD HILL RD STE APrescott Valley, AZ 86314-1353
Mailing Address6348 Harvest Moon AvePrescott, AZ 86305-6118 · (801) 703-3783
Phone(928) 759-8000
Sole ProprietorNo
Enumeration DateSeptember 12, 2023
NPPES CertifiedSeptember 10, 2023
✔ NPI 1811774961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in AZ · D011954
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.
3264 N GLASSFORD HILL RD STE A, Prescott Valley, AZ 86314
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Secondary Practice Location 1

Location 1316 Mercy DriveBagdad, AZ 86321 · Phone (928) 633-5866

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., BEST Life and more.Insurance ›

Other Providers at the Same Location NPPES 3

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

SARAH ANNE HANSEN DDS
Dentist (General Practice)
3264 N GLASSFORD HILL RD STE A
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 759-8000
HILLARY KOH DDS
Dentist (General Practice)
3264 N GLASSFORD HILL RD STE A
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 759-8000
EDWARD M. REIFMAN, DDS INC
Dentist
3264 N GLASSFORD HILL RD STE A
PRESCOTT VALLEY, AZ 86314
Yavapai County (928) 759-8000

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 Marissa Fuller's NPI number?

The NPI number for Marissa Fuller is 1811774961. It was assigned to this individual provider in the NPPES registry on September 12, 2023.

Where is Marissa Fuller located?

Marissa Fuller practices at 3264 N Glassford Hill Rd Ste A, Prescott Valley, AZ 86314. The listed phone number is (928) 759-8000.

What is Marissa Fuller's specialty?

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

What insurance does Marissa Fuller accept?

Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Arizona, Inc., BEST Life, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 18 other insurers list Marissa Fuller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Fuller was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.