DR. Patrick Lee Fullwood, D.D.S.

NPI #1114273802 in Selmer, Tennessee

Provider Information

NPI Number: 1114273802
Entity Type: Individual
Name: DR. Patrick Lee Fullwood, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Jul 31, 2012
Last Updated: Jul 31, 2012

Practice Location

Address: 485 MULBERRY AVE
City: Selmer
State: Tennessee
ZIP Code: 38375-2307
Phone: (731) 645-7785

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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Provider Name	Specialty	City
DR. Gregory Alan Wilson, DDS	Dentist	Selmer	AI Deep Dive
DR. Ronnie Lee Fullwood, DDS	Dentist	Selmer	AI Deep Dive
DR. Robert C. Wilhite JR., DDS	Dentist	Columbia	AI Deep Dive
DR. Charles Baker Felts III, D.D.S., M.S.D.	Dentist	Chattanooga	AI Deep Dive

Organizations

Provider Name	Specialty	City
Wilson Family Dentistry	Dentist	Selmer	AI Deep Dive

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