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Active NPI 1548146038 Individual Practitioner Male Practitioner

Jared Ambrose

Dentist - General Practice • Fort Campbell, KY

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Jared Ambrose is a registered healthcare professional specializing in Dentist - General Practice in Fort Campbell, KY. Official NPI practice address is registered at 2441 21ST ST.

Practice Location & Contact Primary Location

Practice Address

2441 21st St

Fort Campbell, KY 422235582

Telephone 2707988953

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Fort Campbell, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.2 Yrs
Regional Practice Density
28 Specialists

Practicing in Fort Campbell, KY (1699 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-07-31
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License KY 11440

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1174134662

Doctor of Dental Medicine

NPI 1265076368

Doctor of Pharmacy (Pharm.D.)

Dr. Clinton Simplot , DPT

Physical Therapist

NPI 1407211378

Doctor of Physical Therapy

Timmy Worles , RRT

Respiratory Therapist, Registered

NPI 1487426177

Registered Respiratory Therapist

Dr. Amanda Hubbard , DPT

Physical Therapist

NPI 1538751953

Doctor of Physical Therapy

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active August 12, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location August 12, 2025

Registered at 2441 21ST ST, FORT CAMPBELL, KY 422235582 (Tel: 2707988953)

📍
Updated Business Mailing Address August 12, 2025

Registered at 525 WOODTRACE DR, CLARKSVILLE, TN 370426185

👤
Provider Name / Credentials Updated August 12, 2025

Recorded as JARED AMBROSE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 12, 2025

Dentist (License #11440 in KY)

🟢
Initial NPI Registration & Enumeration August 12, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1548146038
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 12, 2025
Last Update: August 12, 2025
Sole Proprietor: No

Mailing Address

525 Woodtrace Dr

Clarksville, TN 370426185

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.