IndividualActive
Alexander Despois
NPI 1396261020 · Dental Assistant · Fort Campbell, KY
Provider details
- NPI number
- 1396261020
- Entity type
- Individual
- Primary specialty
- Dental AssistantDental Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Dental Providers
Practice location
2441 21st St
Fort Campbell, KY 42223-5582
Phone: (270) 798-8751
Fax: (270) 956-0266
Approximate (ZIP-level) locationGet directions
Mailing address
2441 21st St
Fort Campbell, KY 42223-5582
Registry dates
- Enumerated
- 2017-08-15
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.