Dr. Domenick Fuller is a Pocatello, Idaho based Dentist who is specialized in General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Domenick Fuller is 9271560 for General Practice Dentistry in Idaho. His current practice location is 921 S 8th Ave, Pocatello. Patients can reach him at 208-282-3289.
Dr. Domenick Fuller is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Domenick Fuller speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Dr. Domenick Fuller
Specialization:
Dentist
Gender:
Male
Credentials:
DDS
Accepts Medicare Assignment:
No
Practice Address:
921 S 8th Ave, Pocatello, Idaho, 83209-0002
Phone:
208-282-3289
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1649063850
NPI Enumeration Date:
28 May, 2025
NPI Last Update On:
04 Jun, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Domenick Fuller are as mentioned below.
License Number
Specialization
State
Status
9271560
General Practice Dentistry
Idaho
Primary
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
397 E Shepard Ln, Kaysville, Utah
Zip:
84037-9637
Phone Number:
801-499-0507
Patients can reach Dr. Domenick Fuller at 921 S 8th Ave, Pocatello, Idaho or can call to book an appointment on 208-282-3289. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.