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Jack Birch
NPI 1205682473 · Dentist · Fort Campbell, KY
Jack Birch is a Dentist provider in Fort Campbell, KY (NPI 1205682473).
Provider details
- NPI number
- 1205682473
- Entity type
- Individual
- Primary specialty
- DentistDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 6001525 (WI)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 Joel Dr
Fort Campbell, KY 42223-5318
Phone: (270) 798-8400
Approximate (ZIP-level) locationGet directions
Mailing address
1801 W Wisconsin Ave
Milwaukee, WI 53233-2186
Registry dates
- Enumerated
- 2024-04-27
- Last updated
- 2025-07-30
- Certified
- 2025-07-30
Frequently asked questions
- What is Jack Birch's NPI number?
- Jack Birch's National Provider Identifier (NPI) is 1205682473, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jack Birch's specialty?
- Jack Birch is listed in the NPPES registry with a primary specialty of Dentist (Dental Providers).
- Where is Jack Birch located?
- Jack Birch's practice location on file with NPPES is 650 Joel Dr, Fort Campbell, KY 42223-5318.
- What is Jack Birch's phone number?
- The practice phone number listed in the NPPES registry for Jack Birch is (270) 798-8400.
- Is Jack Birch's NPI active?
- Yes — Jack Birch's NPI (1205682473) is active in the NPPES registry as of the last update on 2025-07-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.