Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dentrust Kentucky, PSC

Organization Dentist · NPI 1861043499

Dentrust Kentucky, PSC is a Dentist in Fort Campbell, Kentucky. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PSC — Professional service corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

2840 Bastogne Ave
Fort Campbell, KY 42223-5114
Phone: (267) 927-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1861043499
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Amanda Clark — Director Of Credentialing · (813) 451-4503
NPI enumeratedSeptember 25, 2019
Last updated in NPPESFebruary 8, 2023
Certification dateFebruary 8, 2023
Mailing address6097 Easton Rd, Pipersville, PA 18947-1810

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