Doctor profile · Federal record
Dr. Marissa Fuller
General Practice Dentistry · Prescott Valley, AZ
- NPI 1811774961
- 3 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3264 N Glassford Hill RD Ste A
Prescott Valley, AZ 863141353
(928) 759-8000 - Additional location
-
316 Mercy Drive
Bagdad, AZ 86321
(928) 633-5866 - Mailing address
-
6348 Harvest Moon Ave
Prescott, AZ 863056118
Credentials & registration
- NPI registered
- September 2023 — 3 yrs on file
- Specialty taxonomy
- 1223G0001X — NUCC code
- State license (1)
- Arizona #D011954
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1811774961. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$23
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Envista Holdings Corporation | 1 | $23.15 |
By nature of payment
Frequently asked questions
What is Dr. Marissa Fuller's medical specialty?
Dr. Marissa Fuller practices General Practice Dentistry in Prescott Valley, AZ.
Where does Dr. Marissa Fuller practice?
Dr. Marissa Fuller practices at 3264 N Glassford Hill RD Ste A, Prescott Valley, AZ 863141353. Office phone: 9287598000.
What is Dr. Marissa Fuller's NPI?
Dr. Marissa Fuller's National Provider Identifier (NPI) is 1811774961, issued by NPPES.