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DR. JOHN LOUIS WIETHOLDER DMD
NPI 1992091862
Dentist in Fort Campbell, KY

Active since June 20, 2011
2441 21ST ST, U S ARMY DENTAL ACTIVITY, FORT CAMPBELL, KY 42223(270) 798-8614(270) 798-8633 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. John Louis Wietholder Dmd NPPES

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

DR. JOHN LOUIS WIETHOLDER DMD (NPI 1992091862) is an individual dentist in Fort Campbell, Kentucky, licensed in Missouri (2016009847) and active in the NPI registry since June 2011. He maintains a secondary practice location in Columbia.

NPPES Registry Identity

NPI1992091862
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameDR. JOHN LOUIS WIETHOLDERCredential: DMD
Location Address2441 21ST ST, U S ARMY DENTAL ACTIVITYFort Campbell, KY 42223-5582
Mailing Address4004 Peach Ct Ste AColumbia, MO 65203-3800 · (573) 449-1918
Phone(270) 798-8614
Fax(270) 798-8633
Sole ProprietorNo
Enumeration DateJune 20, 2011
Last NPPES UpdateMay 25, 2021
NPPES CertifiedMay 25, 2021
✔ NPI 1992091862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in MO · 2016009847✔ Licensed in IL · 019028637✔ Licensed in TN · DS0000009522
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.
2441 21ST ST, Fort Campbell, KY 42223
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Secondary Practice Location 1

Location 14004 Peach Ct Ste AColumbia, MO 65203-3800 · Phone (573) 449-1918

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICKY SNIPES
Dental Assistant
2441 21ST ST
FORT CAMPBELL, KY 42223
Christian County (270) 798-8751
DR. CHRISTOPHER OSCAR TORRES DDS
Dentist
2441 21ST ST, USA DENTAC
FORT CAMPBELL, KY 42223
Christian County (270) 798-8614
NICOLEPATRICIA SPENCER
Dental Assistant
2441 21ST ST
FORT CAMPBELL, KY 42223
Christian County (270) 798-8751
DR. ERIC JOSEPH SETTER DDS
Dentist (General Practice)
2441 21ST ST
FORT CAMPBELL, KY 42223
Christian County (270) 798-5429
JARRED LLOYD PRICE DDS
Dentist (General Practice)
2441 21ST ST
FORT CAMPBELL, KY 42223
Christian County (707) 988-7512
DR. MARK RICHARD BENNE DDS
Dentist (General Practice)
2441 21ST ST
FORT CAMPBELL, KY 42223
Christian County (270) 798-8977
DR. JOSEPH LINDSAY RANDALL III DMD
Dentist
2441 21ST ST
FORT CAMPBELL, KY 42223
Christian County (270) 798-8751
BYRON ANTHONY SINGLETON
Dental Assistant
2441 21ST ST
FORT CAMPBELL, KY 42223
Christian County (270) 798-8751

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 John Wietholder's NPI number?

The NPI number for John Wietholder is 1992091862. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Where is John Wietholder located?

John Wietholder practices at 2441 21st St U S Army Dental Activity, Fort Campbell, KY 42223. The listed phone number is (270) 798-8614.

What is John Wietholder's specialty?

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

What insurance does John Wietholder accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list John Wietholder as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for John Wietholder was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.