Domenick Fuller, DDS
NPI 1649063850ActiveIndividual· Dentist, General Practice· Pocatello, ID
Dentist, General Practice (DDS) in Pocatello, Idaho, licensed in ID, with an NPI issued in May 2025. Straumann USA LLC was the largest of 3 companies reporting payments in 2025, $128.22 in all, mostly food and beverage.
Overview
| NPI | 1649063850 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DDS |
| Sole proprietor | No |
| NPI issued | May 28, 2025 |
| Last updated in NPPES | Jun 4, 2025 |
| Certified by provider | Jun 4, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 9271560 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Industry payments (Open Payments)
- 2025$128.22 · 4 payments from 3 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Straumann USA LLC | $88.24 | 2 |
| Dentsply Sirona Inc | $22.23 | 1 |
| Envista Holdings Corporation | $17.75 | 1 |
What the 2025 payments were for
- Food and Beverage$128.22 · 4 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other general dentists in Pocatello
- 1043362452
- 1104483817
- 1174747190
- 1215072798
- 1245542596
- 1356507925
- 1467543595
- 1538713342
- 1548271760
- 1568575330
- 1629753868
- 1720099971
All 68 general dentists in Pocatello · All general dentists in Idaho