Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Julian Macon Dismukes III, DMD

Individual provider Dentist · NPI 1740260884

Dr. Julian Macon Dismukes III, DMD is a Dentist in Fort Campbell, Kentucky. Licensed in Kentucky. Registered with an NPI since 2006.

Licensed in
KY
In the registry since
2006
Specialties on file
2
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

Bldg 2441 21st St USA Dentac
Fort Campbell, KY 42223-5369
Phone: (270) 798-8614
Fax: (270) 798-8633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 4047 (KY)
Dentist Taxonomy 122300000X · Licence 4047 (KY)

Record details

NPI number1740260884
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorNo
NPI enumeratedJanuary 17, 2006
Last updated in NPPESJuly 13, 2026

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