DR. Bryce Fenton, D.M.D.

NPI #1154720852 in Fort Campbell, Kentucky

Provider Information

NPI Number: 1154720852
Entity Type: Individual
Name: DR. Bryce Fenton, D.M.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: D.M.D.
Enumeration Date: Aug 19, 2014
Last Updated: Jun 13, 2019

Practice Location

Address: 2441 21ST ST
Address 2: USA DENTAL ACTIVITY
City: Fort Campbell
State: Kentucky
ZIP Code: 42223-5582
Phone: (270) 798-8614

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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