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PETER FULLMER
NPI 1922853878
Dentist - General Practice in Eielson Afb, AK

Active since April 23, 2024
2630 CENTRAL AVE, EIELSON AFB, AK 99702(907) 377-1847 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 12, 2025, Aug 14, 2024, Apr 23, 2024 (3 updates tracked since 2024).

About Peter Fullmer NPPES

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

PETER FULLMER (NPI 1922853878) is an individual general practice provider in Eielson Afb, Alaska, licensed in Utah (14004164-9926) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1922853878
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePETER FULLMER
Location Address2630 CENTRAL AVEEielson Afb, AK 99702-2301
Mailing Address2630 Central AveEielson Afb, AK 99702-2301
Phone(907) 377-1847
Sole ProprietorNo
Enumeration DateApril 23, 2024
Last NPPES UpdateAugust 12, 20253 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
✔ NPI 1922853878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in UT · 14004164-9926
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2630 CENTRAL AVE, Eielson Afb, AK 99702
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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.

KELSEY GENE BROOME PHYSICIAN ASSISTANT
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 337-6737
NATALIE ELAINE PETER LISW
Social Worker (Clinical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-3071
NICOLE ANNE SOTO
Nurse Practitioner (Pediatrics)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough No phone listed
MATTHEW GRAY IDMT
Military Health Care Provider (Independent Duty Medical Technicians)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (931) 220-2210
DR. JEREMY MANTLE WELLS D.D.S.
Dentist
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6767
CAMVY VICTORIA PHAN DO
Pediatrics
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6455
GENESIS Y VELASQUEZ
Nurse Practitioner (Family)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-6980
NICHOLE KILINC PA-C
Physician Assistant (Medical)
2630 CENTRAL AVE
EIELSON AFB, AK 99702
Fairbanks North Star Borough (907) 377-1847

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 Peter Fullmer's NPI number?

The NPI number for Peter Fullmer is 1922853878. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Peter Fullmer located?

Peter Fullmer practices at 2630 Central Ave, Eielson Afb, AK 99702. The listed phone number is (907) 377-1847.

What is Peter Fullmer'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 Peter Fullmer was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.