DR. ALAN WAYNE EDMUNDSON DDS
NPI 1710954755
Dentist - General Practice in Fort Campbell, KY

Q: What is Alan Edmundson's NPI number?

The NPI number for Alan Edmundson is 1710954755. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Q: What is Alan Edmundson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Q: When was this NPI record last updated?

The NPPES record for Alan Edmundson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 March 08, 2006

BLDG 2441, 2441 21ST STREET, FORT CAMPBELL, KY 42223(270) 798-8614(270) 798-8633 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

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About Dr. Alan Wayne Edmundson Dds NPPES

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

DR. ALAN WAYNE EDMUNDSON DDS (NPI 1710954755) is an individual general practice provider in Fort Campbell, Kentucky, licensed in Tennessee (3475) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1710954755

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ALAN WAYNE EDMUNDSONCredential: DDS

Location AddressBLDG 2441, 2441 21ST STREETFort Campbell, KY 42223-5369

Mailing AddressBldg 2441, 2441 21st StreetFort Campbell, KY 42223-5369 · (270) 798-8614 · Fax (270) 798-8633

Phone(270) 798-8614

Fax(270) 798-8633

Sole ProprietorNo

Enumeration DateMarch 8, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1710954755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in TN · 3475

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedDentistTaxonomy 122300000X · License 3475 (TN)

BLDG 2441, Fort Campbell, KY 42223

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alan Edmundson's NPI number?

The NPI number for Alan Edmundson is 1710954755. It was assigned to this individual provider in the NPPES registry on March 8, 2006.

Where is Alan Edmundson located?

Alan Edmundson practices at Bldg 2441 2441 21st Street, Fort Campbell, KY 42223. The listed phone number is (270) 798-8614.

What is Alan Edmundson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Alan Edmundson was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.