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DR. FORREST WANE FULLENKAMP DDS
NPI 1730733007
Dentist in Decatur, IN

Active since July 25, 2019
1020 SOUTHAMPTON DR, DECATUR, IN 46733(260) 724-8410 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 29, 2024, Aug 16, 2022, Jul 25, 2019 (3 updates tracked since 2019).

About Dr. Forrest Wane Fullenkamp Dds NPPES

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

DR. FORREST WANE FULLENKAMP DDS (NPI 1730733007) is an individual dentist in Decatur, Indiana, licensed in Indiana (12013196A) and active in the NPI registry since July 2019. He maintains a secondary practice location in Fort Bragg.

NPPES Registry Identity

NPI1730733007
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. FORREST WANE FULLENKAMPCredential: DDS
Location Address1020 SOUTHAMPTON DRDecatur, IN 46733-1049
Mailing Address1020 Southampton DrDecatur, IN 46733-1049 · (260) 724-8410
Phone(260) 724-8410
Sole ProprietorNo
Enumeration DateJuly 25, 2019
Last NPPES UpdateApril 29, 20243 updates tracked since enumeration
NPPES CertifiedApril 29, 2024
✔ NPI 1730733007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in IN · 12013196A
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.
1020 SOUTHAMPTON DR, Decatur, IN 46733
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Secondary Practice Location 1

Location 1Fort Bragg DentacFort Bragg, NC 28310-0001 · Phone (260) 223-7533

Other Identifiers 1

Other12013196AIN · Indiana Professional Licensing Agency

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 5

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

DR. TODD MICHAEL EVANS D.D.S.
Dentist
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Adams County (260) 724-8015
DECATUR FAMILY DENTISTRY 2.0
Dentist (General Practice)
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Adams County (260) 223-7533
JULIE LYNN FULLENKAMP DDS
Dentist (General Practice)
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Adams County (260) 724-8410
DR. RONALD LYNN HAMMOND DDS
Dentist (General Practice)
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Adams County (260) 724-8410
DECATUR FAMILY DENTISTRY OF ADAMS COUNTY LLC
Dentist (General Practice)
1020 SOUTHAMPTON DR
DECATUR, IN 46733
Adams County (260) 724-8410

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 Forrest Fullenkamp's NPI number?

The NPI number for Forrest Fullenkamp is 1730733007. It was assigned to this individual provider in the NPPES registry on July 25, 2019.

Where is Forrest Fullenkamp located?

Forrest Fullenkamp practices at 1020 Southampton Dr, Decatur, IN 46733. The listed phone number is (260) 724-8410.

What is Forrest Fullenkamp's specialty?

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

What insurance does Forrest Fullenkamp 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 Humana list Forrest Fullenkamp 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 Forrest Fullenkamp was last updated on April 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.