Individual provider · Type 1 NPI

Alan Wayne Edmundson, DDS

General Practice Dentistry · Fort Campbell, KY

NPI number 1710954755 Active

Practice location

Bldg 2441, 2441 21st Street
Fort Campbell, KY 42223-5369

Call (270) 798-8614 Map

Fax (270) 798-8633

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X3475 (TN)
General Practice Dentistry Primary 1223G0001X3475 (TN)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1710954755

Alan Wayne Edmundson, DDS's National Provider Identifier is 1710954755, issued on Mar 8, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Fort Campbell, KY. The record was last updated on Jul 13, 2026.