DR. RONNIE LEE FULLWOOD (NPI# 1568575249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568575249 |
| Entity Type | Individual |
| Full Name | DR. RONNIE LEE FULLWOOD |
| Credential | DDS |
| Practice Address |
177 Court Ave Selmer TN 38375 |
| Practice Telephone | 7316457785 |
| Practice Fax Number | 7316457785 |
| Mailing Telephone | 7316457785 |
| Mailing Fax Number | 7316457785 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DS 003797 | TN | Dental Providers |
| Street Address |
177 COURT AVE |
| City | SELMER |
| State | TN |
| Zip Code | 38375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154699312 | Nicholas Matters Inc. | Community Based Residential Treatment Facility, Mental Illness | 191 Crabtree Road, Selmer, TN 38375 | 2011-12-02 |
| 1760786479 | Crystal Rose Wilson | Nurse Practitioner | 699 E. Poplar Ave, Selmer, TN 38375 | 2011-01-10 |
| 1699098335 | Sonia Ann Berry | Physical Therapist | 270 E. Court Ave, Suite B, Selmer, TN 38375 | 2010-03-09 |
| 1447386875 | Gregory L Wilson | Dentist | 710 Federal Drive, Selmer, TN 38375 | 2007-02-27 |
| 1184774333 | State of Tennessee | Public Health or Welfare | 725 East Poplar, Selmer, TN 38375 | 2007-01-11 |
| 1114085453 | Bobby Shawn Pitts | Chiropractor | 134 Warren Ave., Selmer, TN 38375 | 2006-12-05 |
| 1104995760 | James Hagy Smith | General Practice | 132 Houston Ave, Selmer, TN 38375 | 2006-11-07 |
| 1467567255 | Sherry M Moore | Registered Nurse | One Prime Care Drive, Selmer, TN 38375 | 2006-08-20 |
| 1902828627 | Hunter Wade Robertson | Physical Therapist | 1027 Mulberry Av, Selmer, TN 38375 | 2006-07-24 |
| 1770531782 | David Petty | Pharmacist | 103 South Y Square, Selmer, TN 38375 | 2006-05-04 |
| Find all providers in zip 38375 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114273802 | Patrick Lee Fullwood | Dentist | 485 Mulberry Ave, Selmer, TN 38375-2307 | 2012-07-31 |
| 1003278367 | Wilson Family Dentistry | Dentist | 710 Federal Dr, Selmer, TN 38375-1876 | 2016-03-25 |
| 1417203555 | Gregory Alan Wilson | Dentist | 710 Federal Dr, Selmer, TN 38375 | 2012-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033723499 | Courtney Lahatte Blankenship | Dentist | 116 Jack White Dr Ste 12, Kingsport, TN 37664-2379 | 2020-09-03 |
| 1952914715 | Hampton Dental Group | Dentist | 435 Highway 321, Hampton, TN 37658-3323 | 2020-08-30 |
| 1861003873 | Lidia Lilly | Dentist | 3050 Cheever St, Franklin, TN 37064-1792 | 2020-08-12 |
| 1629688338 | Tennessee Valley Dental Partners, P.C. | Dentist | 1501 Nashville Hwy Ste 102, Columbia, TN 38401-2016 | 2020-08-06 |
| 1801406186 | Raven Julia Jackson | Dentist | 445 Tn-46 S, Dickson, TN 37055 | 2020-08-03 |
| 1184249278 | Sleep Better Solutions LLC | Dentist | 9 Chatwick Cv, Jackson, TN 38305-5642 | 2020-06-15 |
| 1073134516 | Confident Smiles & Implants | Dentist | 12802 Kingston Pike Ste 101, Farragut, TN 37934-0919 | 2020-05-06 |
| 1801423710 | Michael John Seelig | Dentist | 277 Veterans Pkwy Ste A, Murfreesboro, TN 37128-1077 | 2020-03-23 |
| 1902432172 | Berry Farms Dental | Dentist | 4020 Hughes Xing Ste 140, Franklin, TN 37064-1468 | 2020-03-19 |
| 1851924369 | Renew Dental | Dentist | 1835 Madison St Ste A, Clarksville, TN 37043-6547 | 2020-02-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.