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

GRACEN LEE FISTLER

Active

GRACEN LEE FISTLER is a Dentist healthcare provider located in FORT CAMPBELL, Kentucky. NPI 1992373476 is currently active in the NPPES registry. Verify at CMS.

Dentist · FORT CAMPBELL, KY

Registration Details

NPI Number
1992373476
Provider Type
Individual
Gender
Female
NPI Issued
Jun 11, 2021 (5.1726713962637 yrs)
Last Updated
Jun 11, 2021
License
10644 (KY)

Practice Information

Address
2441 21ST ST
FORT CAMPBELL, KY, 422235582
Browse KY providers · Browse ZIP 42223
Phone
2707988751
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.