Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Fullwood Dental Clinic, LLC

Organization General Practice Dentistry · NPI 1881021020

Fullwood Dental Clinic, LLC provides 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 Not confirmed with CMS for 13 years — call before visiting
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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