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

Dr. Forrest Wane Fullenkamp, DDS

Individual provider Dentist · NPI 1730733007

Dr. Forrest Wane Fullenkamp, DDS is a Dentist in Decatur, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2019
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

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Practice location Address checks out

1020 Southampton Dr
Decatur, IN 46733-1049
Phone: (260) 724-8410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • Fort Bragg Dentac, Fort Bragg, NC 28310-0001 — (260) 223-7533

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 12013196A (IN)

Record details

NPI number1730733007
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJuly 25, 2019
Last updated in NPPESApril 29, 2024
Certification dateApril 29, 2024
Mailing address1020 Southampton Dr, Decatur, IN 46733-1049

Other providers in Decatur