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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. BRYCE FENTON, D.M.D.

Active Sole Proprietor

DR. BRYCE FENTON, D.M.D. is a General Dentistry healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1154720852 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT CAMPBELL, KY

Registration Details

NPI Number
1154720852
Provider Type
Individual
Gender
Male
NPI Issued
Aug 19, 2014 (12.011530952606 yrs)
Last Updated
Jun 13, 2019
Licenses
00202283 (CO)
11105993-9922 (UT)
Sole Proprietor
Yes

Practice Information

Address
2441 21ST ST
USA DENTAL ACTIVITY
FORT CAMPBELL, KY, 422235582
Browse KY providers · Browse ZIP 42223
Phone
2707988614
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in FORT CAMPBELL, KY

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.