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

Dr. Mark Crandall Fullmer, DDS

Individual provider Dentist · NPI 1568684470

Dr. Mark Crandall Fullmer, DDS is a Dentist in Springville, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2007
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

225 E 400 S
Springville, UT 84663
Phone: (801) 489-3611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 143367-9921 (UT)

Record details

NPI number1568684470
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 8, 2007
Mailing address225 East 400 South, Springville, UT 84663

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