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

Dr. Adam Fuller, DMD

Individual provider Oral and Maxillofacial Surgery (Dentist) · NPI 1194643403

Dr. Adam Fuller, DMD is an Oral and Maxillofacial Surgery (Dentist) in Los Angeles, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

714 Tiverton Ave
Los Angeles, CA 90095-8361
Phone: (310) 206-3904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence DDS113184 (CA)

Record details

NPI number1194643403
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJuly 7, 2026
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

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