Individual provider · Type 1 NPI

John Louis Wietholder, DMD

Dentist · Fort Campbell, KY

NPI number 1992091862 Active

Practice location

2441 21st St, U S Army Dental Activity
Fort Campbell, KY 42223-5582

Call (270) 798-8614 Map

Fax (270) 798-8633

Mailing address

4004 Peach Ct Ste A
Columbia, MO 65203-3800

Other practice locations

  • 4004 Peach Ct Ste A, Columbia, MO 65203-3800 · (573) 449-1918

Specialties and licenses

TaxonomyCodeLicense
Dentist 122300000X019028637 (IL)
Dentist 122300000XDS0000009522 (TN)
Dentist Primary 122300000X2016009847 (MO)

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 1992091862

John Louis Wietholder, DMD's National Provider Identifier is 1992091862, issued on Jun 20, 2011. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Campbell, KY. The record was last updated on May 25, 2021.