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Dr. Katlyn Elizabeth Fullen, DDS
Pediatric Dentist in Cleveland, Tennessee
NPI 1427611755

Katlyn Elizabeth Fullen is a Pediatric Dentist based in Cleveland, TN and is specialized in Pediatric Dentistry. Katlyn Elizabeth Fullen practices in Cleveland, TN and has the professional credentials of DDS. The NPI Number for Katlyn Elizabeth Fullen is 1427611755 and holds a License No. (Tennessee).

The current practice location address for Katlyn Elizabeth Fullen is 150 Stuart Xing Ne, Cleveland, TN and can be reached out via phone at 423-472-9930.

Location: 150 Stuart Xing Ne, Cleveland, TN, 37312-4065
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1427611755
Provider Name
Katlyn Elizabeth Fullen
Credential
DDS
Provider Entity Type
Individual
Gender
Female
Address
150 Stuart Xing Ne, Cleveland, TN, 37312-4065
Phone Number
423-472-9930
Fax Number
Provider Enumeration Date
04/22/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
150 Stuart Xing Ne
City
Cleveland
State
Tennessee
Zip
37312-4065
Phone Number
423-472-9930
Fax Number
person
Provider Business Mailing Address Details
Address
150 Stuart Xing Ne
City
Cleveland
State
Tennessee
Zip
37312-4065
Phone Number
423-472-9930
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
11554 (Tennessee)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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