SpecialtyGeneral Dentist
LocationFort Campbell, KY
NPI1780574160
License number016.0134372
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 07/07/2025). If this looks outdated, use "Report an issue" on this profile to suggest a correction.