NPI 1366892895

Tessa Tilton, EFDA

Practitioner Dental Assistant Fort Campbell, KY

Practice location

Address: Bldg 2441 21st Street US Army Dental Activity, Fort Campbell, KY 42223
Phone: (270) 798-8977
Fax: (270) 956-0266

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X

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Registry record

NPI: 1366892895
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jun 2016
Record last updated: 15 Jun 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.