Jackson Fuller, DDS

NPI 1619549862 · on the registry since 2021

Practice

Address: 2600 Village Pkwy Ste 120
Highland Village, TX 75077
Phone: (469) 444-6500
Organisation at this address: Mark V Wagner Dmd Pllc
Pennie Johnson Lpc, Pllc
New Beginnings Dfw, Pllc
Ryan C Thomas, Dds, Pllc
Highland Dental Group, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas