Search › Tennessee › 122300000X
Patrick Fullwood, D.D.S
NPI 1114273802 · on the registry since 2012
Practice
- Address
- 485 Mulberry Ave
Selmer, TN 38375 - Phone
- (731) 645-7785
- Organisation at this address
- Fullwood Dental Clinic, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 122300000X
122300000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee