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

Fullwood Dental Clinic, LLC

Organization General Practice Dentistry · NPI 1881021020

Fullwood Dental Clinic, LLC is a General Practice Dentistry in Selmer, Tennessee. Licensed in Tennessee. Registered with an NPI since 2013.

Licensed in
TN
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

485 Mulberry Ave
Selmer, TN 38375-2307
Phone: (731) 645-7785
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 9500 (TN)

Record details

NPI number1881021020
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ronnie Fullwood — Dentist · (731) 645-7785
NPI enumeratedOctober 2, 2013
Last updated in NPPESOctober 2, 2013
Mailing address485 Mulberry Ave, Selmer, TN 38375-2307

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