DR. DAVID ALLEN FULLER D.M.D. NPI 1275590101

NPI Information

  • NPI: 1275590101
  • Provider Name: DR. DAVID ALLEN FULLER, D.M.D.
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 2250 NE PROFESSIONAL CT.
    BEND, OR
    ZIP 97701
  • Phone: (541) 388-1434

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NPI Details

DR. David Allen Fuller, D.M.D. is a general practice dentist in Bend, OR. The provider is 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. DR. David Allen Fuller, D.M.D. NPI is 1275590101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2250 NE PROFESSIONAL CT.
BEND, OR
ZIP 97701-063
Phone: (541) 388-1434
Fax: (541) 388-1293

The enumeration date for this NPI number is 4/26/2006 and was last updated on 2/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice5954OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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