Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Aaron Nicholas Fullwiler, LD

Individual provider Denturist · NPI 1811706823

Aaron Nicholas Fullwiler, LD is a Denturist in Roseburg, Oregon. Licensed in Oregon. Registered with an NPI since 2025.

Licensed in
OR
In the registry since
2025
What do these letters mean?
LD — Licensed Dietitian
A dietitian licensed by a state board.

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Practice location Address checks out

868 NW Garden Valley Blvd
Roseburg, OR 97471-1959
Phone: (541) 378-6257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Denturist (primary) Taxonomy 122400000X · Licence DT-DO-10246626 (OR)

Record details

NPI number1811706823
Entity typeIndividual (Type 1)
GenderMale
Credentials LD
Sole proprietorNo
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address868 Nw Garden Valley Blvd, Roseburg, OR 97471-1959

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