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

Dr. John Louis Wietholder, DMD

Individual provider Dentist · NPI 1992091862

Dr. John Louis Wietholder, DMD is a Dentist in Fort Campbell, Kentucky. Works from 2 locations. Licensed in Illinois, Missouri and Tennessee.

Licensed in
IL, MO, TN
In the registry since
2011
Specialties on file
3
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

See every abbreviation used in this directory →

Practice location Address checks out

2441 21st St U S Army Dental Activity
Fort Campbell, KY 42223-5582
Phone: (270) 798-8614
Fax: (270) 798-8633
Show map & directions

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

Additional practice locations (1)

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 2016009847 (MO)
Dentist Taxonomy 122300000X · Licence 019028637 (IL)
Dentist Taxonomy 122300000X · Licence DS0000009522 (TN)

Record details

NPI number1992091862
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJune 20, 2011
Last updated in NPPESMay 25, 2021
Certification dateMay 25, 2021

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