Jack Alan Fullwiler, DDS
Dentist · Coeur D Alene, ID
Jack Alan Fullwiler, DDS is a dentist with a practice address in Coeur D Alene, Idaho, and NPI 1518095678, issued on Mar 1, 2007. Check the license (Idaho D1747, as entered in NPPES) with the Idaho board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Jack Alan Fullwiler
- Credential
- DDS
- Primary taxonomy
- Dentist 122300000X
- License number
- D1747 ID
Self-reported in NPPES; status is on the state search - Practice location
- 1223 N Government Way, Coeur D Alene, ID 83814
- Phone
- (208) 664-9225
- Enumerated
- Mar 1, 2007
- Record last updated
- Jul 8, 2007 (not updated in 19 years: call before relying on the address or phone)
- Fax
- (208) 667-3699
- Entity
- Type 1 · individual
8 nearest dentist records → All 428 in Idaho → Look up another NPI →
Also registered at 1223 N Government Way
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Justin Rader, D.D.S.Dentist1548576879
Verify Jack Alan Fullwiler in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Idaho board licenses this profession
Search for license D1747Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Jack Alan Fullwiler among 428 dentist records in Idaho
Jack Alan Fullwiler, DDS is one of 428 dentist records with a practice address in Idaho. 71% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2007, is newer than 30% of them.
- NPI issued2007 · 30% of these records are older, 56% newer
- In a Medicare fileNo · 71% of these records are
- In the CMS Doctors and Clinicians fileNo · under 1% of these records are
- Record last updated2007 · 61% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 122300000X and a Idaho practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
28 dentist records list a practice address in Coeur D Alene
They are 28 of the 2,341 NPPES records with a practice address in Coeur D Alene, and 428 dentist records in Idaho. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
All 428 in Idaho → Every provider in Coeur D Alene → Dentist nationwide →
The 8 dentist records with the nearest ZIP codes
- Rheanna Burnham, DMDCoeur D Alene, ID 838141447567003
- Hatta Clark, DDSCoeur D Alene, ID 838141972891240
- Rachel Davidson, DDSCoeur D Alene, ID 838141477829778
- Logan Ditto, DDSCoeur D Alene, ID 838141013166628
- Kyle Dosch, D.D.S.Coeur D Alene, ID 838141255328209
- Bryan Dryden, DDSCoeur D Alene, ID 838141487768545
- Rachel Fehling, D.M.D.Coeur D Alene, ID 838141063650240
- James Hough, DDSCoeur D Alene, ID 838141154614667
Common questions
What is Jack Alan Fullwiler, DDS's NPI number?
Jack Alan Fullwiler, DDS's National Provider Identifier (NPI) is 1518095678, issued on Mar 1, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Jack Alan Fullwiler, DDS located?
The NPPES record lists a practice address at 1223 N Government Way, Coeur D Alene, ID, 83814. Phone: (208) 664-9225. Providers update this record themselves, so call before visiting.
How can I verify Jack Alan Fullwiler, DDS's license?
NPPES lists Idaho license number D1747, as entered by the provider. Search the Idaho board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.