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

Dr. Katlyn Elizabeth Fullen, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1427611755

Dr. Katlyn Elizabeth Fullen, DDS is a Student in an Organized Health Care Education/Training Program in Cleveland, Tennessee. Works from 2 locations. Licensed in Tennessee.

Licensed in
TN
In the registry since
2019
Specialties on file
2
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.

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Practice location Address checks out

150 Stuart Xing NE
Cleveland, TN 37312-4065
Phone: (423) 472-9930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • University Of Tennessee 920 Madison Avenue Suite 447, Memphis, TN 38163-0001 — (901) 448-6206

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X · Licence 11554 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1427611755
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 22, 2019
Last updated in NPPESJune 23, 2021
Certification dateJune 23, 2021

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