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Search › Utah › 390200000X

Kort Fuller

NPI 1831997410 · on the registry since 2025

Practice

Address
530 S Wakara Way
Salt Lake City, UT 84108
Phone
(801) 587-6453
Organisation at this address
University Of Utah Dental Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
37

Registry record

Primary taxonomy
390200000X
390200000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-07

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 Utah