Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK BIRCH
ActiveJACK BIRCH is a Dentist healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1205682473 is currently active in the NPPES registry. Verify at CMS.
Dentist · FORT CAMPBELL, KY
Registration Details
- NPI Number
- 1205682473
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 27, 2024 (2.2961398591215 yrs)
- Last Updated
- Jul 30, 2025
- License
-
6001525 (WI)
Practice Information
- Address
-
650 JOEL DRFORT CAMPBELL, KY, 422235318Browse KY providers · Browse ZIP 42223
- Phone
- 2707988400
- Primary Specialty
-
Dentist
122300000X
Other Dentist Providers in FORT CAMPBELL, KY
| Name | Credential | NPI |
|---|---|---|
| DR. ANDREW DAVID PALALAY | DDS | 1538143573 |
| DR. MARK NEWTON MCDONALD | DMD | 1093795122 |
| DR. WILLIAM ROBERT ENGLISH | DDS | 1457331597 |
| DR. GEORGE ROBERT PAINTER | DDS | 1235119371 |
| DR. RICHARD JAMES PUGH | DDS | 1225018369 |
| DR. WALTER B. SHREWSBURY | DMD | 1952381097 |
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.