Dentrust Kentucky, Psc
Dentrust Kentucky, Psc is a healthcare organization registered as Dentist in Fort Campbell, KY, holding Type 2 (organization) NPI 1861043499 since 2019. The authorized official on file is Amanda Clark, Director of Credentialing.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1861043499 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Dentrust Kentucky, Psc |
| Practice address | 2840 BASTOGNE AVE, Fort Campbell, KY, 42223 |
| Phone | 2679275000 |
| Enumeration date | 2019-09-25 |
| Last updated in NPPES | 2023-02-08 |
Authorized official
| Name | Amanda Clark |
|---|---|
| Title | Director of Credentialing |
| Phone | 8134514503 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 122300000X | Dentist | Primary | — | — |
Copy-ready billing details
Provider: Dentrust Kentucky, Psc NPI: 1861043499 Taxonomy: 122300000X (Dentist) Address: 2840 BASTOGNE AVE, Fort Campbell, KY, 42223
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1225986656 | Freedom Eye Care Pllc | Organization | Optometrist | Fort Campbell, KY |
Verify this record
Cross-check NPI 1861043499 against the authoritative CMS record: view Dentrust Kentucky, Psc on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Dentrust Kentucky, Psc?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-02-08.