| Dr John Louis Wietholder, DMD | |
|
2441 21st St, U S Army Dental Activity, Fort Campbell, KY 42223-5582 | |
| (270) 798-8614 | |
| (270) 798-8633 |
| Full Name | Dr John Louis Wietholder |
|---|---|
| Gender | Male |
| Speciality | Dentist |
| Location | 2441 21st St, Fort Campbell, Kentucky |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992091862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 019028637 (Illinois) | Secondary |
| 122300000X | Dentist | DS0000009522 (Tennessee) | Secondary |
| 122300000X | Dentist | 2016009847 (Missouri) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Louis Wietholder, DMD 4004 Peach Ct Ste A, Columbia, MO 65203-3800 Ph: (573) 449-1918 | Dr John Louis Wietholder, DMD 2441 21st St, U S Army Dental Activity, Fort Campbell, KY 42223-5582 Ph: (270) 798-8614 |
Dr. Duke Phu Nguyen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 5979 Desert Storm Ave, Fort Campbell, KY 42223 Phone: 270-412-8547 | |
Dr. Christopher Oscar Torres, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2441 21st St, Usa Dentac, Fort Campbell, KY 42223 Phone: 270-798-8614 Fax: 270-798-8614 | |
Ashley Marie Dimeo, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 6145 Desert Storm Ave, Fort Campbell, KY 42223 Phone: 270-412-2787 | |
Dr. James Edmund Albritton Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 2441 21st Street, Usa Dentac, Fort Campbell, KY 42223 Phone: 270-798-8614 Fax: 270-798-8633 | |
Dr. William Edgar Smith, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: Bldg 2441 21st Street, Us Army Dental Activity, Fort Campbell, KY 42223 Phone: 270-798-8751 Fax: 270-956-0266 | |
Dr. Eric Joseph Setter, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2441 21st St, Fort Campbell, KY 42223 Phone: 270-798-5429 | |
Jarred Lloyd Price, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2441 21st St, Fort Campbell, KY 42223 Phone: 707-988-7512 |