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DR. PATRICK LEE FULLWOOD D.D.S.
NPI 1114273802
Dentist in Selmer, TN

Active since July 31, 2012
485 MULBERRY AVE, SELMER, TN 38375(731) 645-7785 Get Directions Write a Review

NPPES record last updated: July 31, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Patrick Lee Fullwood D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PATRICK LEE FULLWOOD D.D.S. (NPI 1114273802) is an individual dentist in Selmer, Tennessee, licensed in Tennessee (9500) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1114273802
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. PATRICK LEE FULLWOODCredential: D.D.S.
Location Address485 MULBERRY AVESelmer, TN 38375-2307
Mailing Address485 Mulberry AveSelmer, TN 38375-2307 · (731) 645-7785
Phone(731) 645-7785
Sole ProprietorNo
Enumeration DateJuly 31, 2012
✔ NPI 1114273802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in TN · 9500
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
485 MULBERRY AVE, Selmer, TN 38375
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REID VINSON DDS
Dentist (General Practice)
485 MULBERRY AVE
SELMER, TN 38375
McNairy County (731) 645-7785
FULLWOOD DENTAL CLINIC, LLC
Dentist (General Practice)
485 MULBERRY AVE
SELMER, TN 38375
McNairy County (731) 645-7785

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patrick Fullwood's NPI number?

The NPI number for Patrick Fullwood is 1114273802. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Patrick Fullwood located?

Patrick Fullwood practices at 485 Mulberry Ave, Selmer, TN 38375. The listed phone number is (731) 645-7785.

What is Patrick Fullwood's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Patrick Fullwood accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and BlueCross BlueShield of Tennessee and 1 other insurer list Patrick Fullwood as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Patrick Fullwood was last updated on July 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.