OrganizationActive
Fullwood Dental Clinic, LLC
NPI 1881021020 · General Practice Dentistry · Selmer, TN
Fullwood Dental Clinic, LLC is a General Practice Dentistry organization in Selmer, TN (NPI 1881021020).
Provider details
- NPI number
- 1881021020
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Ronnie Fullwood, Dentist(731) 645-7785
- License
- 9500 (TN)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(77/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
485 Mulberry Ave
Selmer, TN 38375-2307
Phone: (731) 645-7785
Street-level locationGet directions
Mailing address
485 Mulberry Ave
Selmer, TN 38375-2307
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-02
Frequently asked questions
- What is Fullwood Dental Clinic, LLC's NPI number?
- Fullwood Dental Clinic, LLC's National Provider Identifier (NPI) is 1881021020, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fullwood Dental Clinic, LLC?
- Fullwood Dental Clinic, LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Fullwood Dental Clinic, LLC located?
- Fullwood Dental Clinic, LLC's practice location on file with NPPES is 485 Mulberry Ave, Selmer, TN 38375-2307.
- What is Fullwood Dental Clinic, LLC's phone number?
- The practice phone number listed in the NPPES registry for Fullwood Dental Clinic, LLC is (731) 645-7785.
- Who is the authorized official for Fullwood Dental Clinic, LLC?
- The authorized official listed on Fullwood Dental Clinic, LLC's NPPES record is Ronnie Fullwood, Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fullwood Dental Clinic, LLC's NPI active?
- Yes — Fullwood Dental Clinic, LLC's NPI (1881021020) is active in the NPPES registry as of the last update on 2013-10-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.