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

Peter Fullmer

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922853878

Peter Fullmer is a Student in an Organized Health Care Education/Training Program in Eielson AFB, Alaska. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024
Specialties on file
2

Practice location Address checks out

2630 Central Ave
Eielson AFB, AK 99702-2301
Phone: (907) 377-1847
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 14004164-9926 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1922853878
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 23, 2024
Last updated in NPPESAugust 12, 2025
Certification dateAugust 12, 2025
Mailing address2630 Central Ave, Eielson Afb, AK 99702-2301

Other providers in Eielson AFB