Individual provider · Type 1 NPI

Gracen Lee Fistler

Dentist · Fort Campbell, KY

NPI number 1992373476 Active

Practice location

2441 21st St
Fort Campbell, KY 42223-5582

Call (270) 798-8751 Map

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X10644 (KY)

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 1992373476

Gracen Lee Fistler's National Provider Identifier is 1992373476, issued on Jun 11, 2021. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Fort Campbell, KY. The record was last updated on Jun 11, 2021.