Reid Vinson, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12837 Issued in TN

Practice address

485 Mulberry Ave
Selmer, TN 38375-2307

Phone

(731) 645-7785

NPI assigned

Jun 17, 2025

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fullwood Dental Clinic, LLC

  • General Practice Dentistry
  • Selmer, TN
  • NPI 1881021020
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750118400000",
    "number": "1508752254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 MULBERRY AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752307",
            "telephone_number": "731-645-7785"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 MULBERRY AVE",
            "city": "SELMER",
            "state": "TN",
            "postal_code": "383752307",
            "telephone_number": "731-645-7785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "REID",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "12837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emma Tedford
• Sherry Thompson, MS
• Total Renal Care Inc (Selmer Dialysis)
• Trinity Medical Clinic, LLC
• Cindy Tubbs
• Wal-Mart Stores East LP (Walmart Pharmacy 10-0218)
• Walgreen Co (Walgreens #17551)
• Vanesssa K Warren, BSW
• Barbara Jane Weeks, LPN
• Amanda R Whirley

• General Practice Dentistry in Selmer, TN
• Providers in Selmer, TN by specialty
• General Practice Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.