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DR. KATLYN ELIZABETH FULLEN DDS
NPI 1427611755
Dentist - Pediatric Dentistry in Cleveland, TN

Active since April 22, 2019
150 STUART XING NE, CLEVELAND, TN 37312(423) 472-9930 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 23, 2021, Apr 22, 2019 (2 updates tracked since 2019).

About Dr. Katlyn Elizabeth Fullen Dds NPPES

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

DR. KATLYN ELIZABETH FULLEN DDS (NPI 1427611755) is an individual pediatric dentistry provider in Cleveland, Tennessee, licensed in Tennessee (11554) and active in the NPI registry since April 2019. She maintains a secondary practice location in Memphis.

NPPES Registry Identity

NPI1427611755
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. KATLYN ELIZABETH FULLENCredential: DDS
Location Address150 STUART XING NECleveland, TN 37312-4065
Mailing Address150 Stuart Xing NeCleveland, TN 37312-4065 · (423) 476-2160
Phone(423) 472-9930
Sole ProprietorNo
Enumeration DateApril 22, 2019
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
✔ NPI 1427611755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in TN · 11554
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
150 STUART XING NE, Cleveland, TN 37312
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Secondary Practice Location 1

Location 1University Of Tennessee 920 Madison Avenue Suite 447Memphis, TN 38163-0001 · Phone (901) 448-6206 · Fax (901) 448-6260

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


The following 4 providers are registered at the same or a nearby location.

DR. CHAD STEVEN ESLINGER DDS
Dentist (Pediatric Dentistry)
150 STUART XING NE
CLEVELAND, TN 37312
Bradley County (423) 476-2160
DR. J WAYNE NEWMAN DDS, MS
Dentist (Pediatric Dentistry)
150 STUART XING NE
CLEVELAND, TN 37312
Bradley County (423) 476-2160
DR. JASON BLAIR DDS
Dentist (Pediatric Dentistry)
150 STUART XING NE
CLEVELAND, TN 37312
Bradley County (423) 476-2160
DR. RYAN PATRICK WILSON DDS
Dentist
150 STUART XING NE
CLEVELAND, TN 37312
Bradley County (423) 476-4160

Frequently Asked Questions

What is Katlyn Fullen's NPI number?

The NPI number assigned to this healthcare provider is 1427611755, enumerated as an "individual" on April 22, 2019.

Where is the provider located?

The provider is located at 150 STUART XING NE CLEVELAND, TN 37312 and the phone number is (423) 472-9930.

What is the provider's specialty?

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

What insurance does Katlyn Fullen accept?

The provider might be accepting Accepts: Anthem Blue Cross and Blue Shield, Blue Cross and. Please consult your insurance carrier or call the provider to verify.