Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Patrick Lee Fullwood, D.D.S.

Dentist in Selmer, TN · enumerated 2012 · practices at Fullwood Dental Clinic, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114273802

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Registry record

Entity type Individual (Type 1)

Name Dr. Patrick Lee Fullwood

Credential D.D.S.

Sex Male

Practice address 485 Mulberry Ave, Selmer, TN, 38375

Phone (731) 645-7785

Enumeration date Jul 31, 2012

Last updated in NPPES Jul 31, 2012

Taxonomy & licenses

122300000X Dentist Dental Providers · License 9500 (TN) Primary

DDS · Doctor of Dental Surgery: A licensed dentist; DDS and DMD are equivalent dental degrees. About the DDS credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Patrick Fullwood's NPI record?

Cross-check NPI 1114273802 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1114273802 active?

Yes, as of the latest NPPES snapshot, NPI 1114273802 is active (record last updated 2012-07-31).

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Fullwood Dental Clinic, LLC General Practice Dentistry · Selmer, TN NPI 1881021020 Reid Vinson General Practice Dentistry · Selmer, TN NPI 1508752254

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-07-31.