JACK BIRCH
NPI 1205682473
Dentist in Fort Campbell, KY

Q: What is Jack Birch's NPI number?

The NPI number for Jack Birch is 1205682473. It was assigned to this individual provider in the NPPES registry on April 27, 2024.

Q: What is Jack Birch's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jack Birch was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 27, 2024

650 JOEL DR, FORT CAMPBELL, KY 42223(270) 798-8400 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2024, Apr 27, 2024 (2 updates tracked since 2024).

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About Jack Birch NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK BIRCH (NPI 1205682473) is an individual dentist in Fort Campbell, Kentucky, licensed in Wisconsin (6001525) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1205682473

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameJACK BIRCH

Location Address650 JOEL DRFort Campbell, KY 42223-5318

Mailing Address1801 W Wisconsin AveMilwaukee, WI 53233-2186

Phone(270) 798-8400

Sole ProprietorNo

Enumeration DateApril 27, 2024

Last NPPES UpdateJuly 30, 20252 updates tracked since enumeration

NPPES CertifiedJuly 30, 2025

✔ NPI 1205682473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in WI · 6001525

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

650 JOEL DR, Fort Campbell, KY 42223

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Other Providers at the Same Location NPPES 20

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