MEDICARE: DR. ADAM FREDRICK FULLER DDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	08213	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1649447	OTHER	IA	UNITED CONCORDIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578688545
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM FREDRICK FULLER DDS

Provider Business Mailing Address
First Line	:	3223 E 29TH STREET
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50317
Country	:	US
Telephone Number	:	515-266-2128
Fax Number	:

Provider Business Practice Location Address
First Line	:	3223 E 29TH STREET
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50317
Country	:	US
Telephone Number	:	515-266-2128
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1013737543 — GUIDED JOURNEYS LLC
Practice Location Address:

2601 E 40TH ST
DES MOINES, IA
50317-3937

Practice Phone: 515-218-7220
Practice Fax:

1255198370 — REBEKAH HOPE CHEEVERS BA, MS, IADC, LMHC
Practice Location Address:

2601 E 40TH ST
DES MOINES, IA
50317-3937

Practice Phone: 515-218-7220
Practice Fax:

1306798087 — COMMUNITY AND FAMILY RESOURCES
Practice Location Address:

3451 EASTON BLVD
DES MOINES, IA
50317-3214

Practice Phone: 515-262-0349
Practice Fax: 844-754-3427

1972506905 — AMY J PEARSON PT
Practice Location Address:

2918 E UNIVERSITY AVE , SUITE 300
DES MOINES, IA
50317-8236

Practice Phone: 515-265-8272
Practice Fax: 515-265-0176

1881699486 — HOSPICE OF CENTRAL IOWA
Practice Location Address:

3000 EASTON BLVD
DES MOINES, IA
50317

Practice Phone: 515-274-3400
Practice Fax: 515-274-1137

1497751150 — HOSPICE OF CENTRAL IOWA
Practice Location Address:

3000 EASTON BLVD
DES MOINES, IA
50317

Practice Phone: 515-274-3400
Practice Fax: 515-274-1137

1558353474 — RONNIE HAWKINS M.D.
Practice Location Address:

3509 E 29TH ST
DES MOINES, IA
50317-4253

Practice Phone: 515-248-1600
Practice Fax: 515-248-1610

Directions to “ DR. ADAM FREDRICK FULLER DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.