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

Dr. John Full, DMD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174970271

Dr. John Full, DMD is a Student in an Organized Health Care Education/Training Program in Supply, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2016
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

90 Medical Center Dr Ste 100
Supply, NC 28462-3669
Phone: (910) 269-2420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 100 Woods Road, Valhalla, NY 10595-1702 — (717) 817-3235

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 11562 (NC)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174970271
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedMay 18, 2016
Last updated in NPPESMarch 6, 2022
Certification dateMarch 6, 2022
Mailing address90 Medical Center Dr Ste 100, Supply, NC 28462-3669

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