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

DR. ALAN WAYNE EDMUNDSON, DDS

Active

DR. ALAN WAYNE EDMUNDSON, DDS is a General Dentistry healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1710954755 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · FORT CAMPBELL, KY

Registration Details

NPI Number
1710954755
Provider Type
Individual
Gender
Male
NPI Issued
Mar 8, 2006 (20.39691889888 yrs)
Last Updated
Sep 11, 2025
Licenses
3475 (TN)
3475 (TN)

Practice Information

Address
BLDG 2441
2441 21ST STREET
FORT CAMPBELL, KY, 422235369
Browse KY providers · Browse ZIP 42223
Phone
2707988614
Fax
2707988633
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Providers in FORT CAMPBELL, KY

Name Credential NPI
DR. MICHAEL STEVEN FULKERSON D.M.D. 1255315313
DR. JULIAN MACON DISMUKES III DMD 1740260884
DR. MARK RICHARD BENNE DDS 1104806041
DR. JAMES JOSEPH GLAD DDS 1700866241
DR. GEORGE WESLEY MCMILLIAN DDS 1841264280
DR. CHRISTOPHER CROWDUS D.M.D 1649236712
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.