PETER FULLMER
Dentist - General Practice
Active
Individual
NPI: 1922853878
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | No | - |
| Dentist - General Practice | 1223G0001X | Yes | 14004164-9926 (UT) |
Frequently Asked Questions
NPI 1922853878 is the National Provider Identifier for PETER FULLMER, a Dentist - General Practice provider located in Eielson Afb, AK. This NPI was enumerated on April 23, 2024.
PETER FULLMER practices at 2630 CENTRAL AVE, Eielson Afb, AK 99702.
Quick Facts
- NPI
- 1922853878
- Type
- Individual
- Enumerated
- Apr 23, 2024
- Last Updated
- Aug 12, 2025
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