Individual provider · Type 1 NPI

Aldrene Ilano Manasan, DMD

Endodontics · Fort Campbell, KY

NPI number 1295213254 Active

Practice location

5979 Desert Storm Ave
Fort Campbell, KY 42223-5514

Call (270) 412-2787 Map

Other practice locations

1466 Tiny Town Rd Ste A, Clarksville, TN 37042-8292 · (931) 548-0119
228 E Hospital Rd Bldg 320, Fort Eisenhower, GA 30905-6011 · (706) 787-5102

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	DDS102593 (CA)
Endodontics Primary	1223E0200X	13101 (TN)
General Practice Dentistry	1223G0001X	DDS102593 (CA)
Student in an Organized Health Care Education/Training Program	390200000X	DDS102593 (CA)

Endodontics: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

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About NPI 1295213254

Aldrene Ilano Manasan, DMD's National Provider Identifier is 1295213254, issued on Aug 1, 2018. The primary taxonomy on file is Endodontics (1223E0200X), and the practice location is in Fort Campbell, KY. The record was last updated on Oct 26, 2026.