SpecialtyOral & Maxillofacial Surgeon
LocationFort Campbell, KY
NPI1962460899
License numberDS0000004587
Last verified by WhoIsMyDentist: 2026-07-20. Sourced from the U.S. federal NPI registry and state dental board licensing (federal record dated 06/04/2013). If this looks outdated, use "Report an issue" on this profile to suggest a correction.