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

Marissa May Fuller

Individual provider General Practice Dentistry · NPI 1811774961

Marissa May Fuller is a General Practice Dentistry in Prescott Valley, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023

Practice location Address checks out

3264 N Glassford Hill Rd Ste A
Prescott Valley, AZ 86314-1353
Phone: (928) 759-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 316 Mercy Drive, Bagdad, AZ 86321 — (928) 633-5866

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence D011954 (AZ)

Record details

NPI number1811774961
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 12, 2023
Last updated in NPPESSeptember 12, 2023
Certification dateSeptember 10, 2023
Mailing address6348 Harvest Moon Ave, Prescott, AZ 86305-6118

Other providers in Prescott Valley