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

Gracen Lee Fistler

Individual provider Dentist · NPI 1992373476

Gracen Lee Fistler is a Dentist in Fort Campbell, Kentucky. Licensed in Kentucky. Registered with an NPI since 2021.

Licensed in
KY
In the registry since
2021

Practice location Address checks out

2441 21st St
Fort Campbell, KY 42223-5582
Phone: (270) 798-8751
Show map & directions

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

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 10644 (KY)

Record details

NPI number1992373476
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 11, 2021
Last updated in NPPESJune 11, 2021
Certification dateJune 11, 2021

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