Fackler, Mitchell Timothy
Fackler, Mitchell Timothy is an individual health care provider with primary practice located at 968 1St Infantry Division Rd , Fort Knox KY 40121-5210. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fackler, Mitchell Timothy can be contacted via phone (502) 626-8314.Contact Information
Primary practice address
968 1St Infantry Division Rd
Fort Knox KY 40121-5210
Phone: (502) 626-8314
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2901601406 | Michigan |
Profile Details
| NPI number | 1528792835 |
|---|---|
| LBN Legal business name | Fackler, Mitchell Timothy |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2022 |
| Last updated | Apr 19th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Popular Providers
-
Gardner, Gary Don
21St Street Bldg 2441, Fort Campbell KY 42223-5369 -
Mcmillian, George Wesley
Bldg 2441 21St Street Us Army Dental Activity, Fort Campbell KY 42223-5369 -
Helmy, Matthew Halim
2724 Brave Rifles Regiment Road , Fort Knox KY 40121 -
Tipple, Shawn
968 1St Infantry Division Rd , Fort Knox KY 40121-5210 -
Corcoran, James Robert
21St Street Bldg 2441, Fort Campbell KY 42223-5369 -
Edmundson, Alan Wayne
Bldg 2441 2441 21St Street, Fort Campbell KY 42223-5369 -
Hall, Seth
398 192Nd Armor Tank Battalion Rd Bldg 1022 Room 231, Fort Knox KY 40121-5116 -
Sanders, Jill Elisabeth
5979 Desert Storm Ave , Fort Campbell KY 42223-5514