Individual provider · Type 1 NPI

Jack Birch

Dentist · Fort Campbell, KY

NPI number 1205682473 Active

Practice location

650 Joel Dr
Fort Campbell, KY 42223-5318

Call (270) 798-8400 Map

Mailing address

1801 W Wisconsin Ave
Milwaukee, WI 53233-2186

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X6001525 (WI)

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 requiremen…

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About NPI 1205682473

Jack Birch's National Provider Identifier is 1205682473, issued on Apr 27, 2024. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Campbell, KY. The record was last updated on Jul 30, 2025.