IndividualActive
Adelle Fuller, DMD
NPI 1154008472 · Dentist · Colorado Springs, CO
Provider details
- NPI number
- 1154008472
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- Yes
- License
- DEN.00205678 (CO)
Specialties & taxonomies
Dental Providers
Practice location
5198 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8649
Phone: (719) 634-8884
Approximate (ZIP-level) locationGet directions
Mailing address
5198 N Nevada Ave Ste 100
Colorado Springs, CO 80918-8649
Registry dates
- Enumerated
- 2023-06-28
- Last updated
- 2023-06-28
- Certified
- 2023-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.