Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1205682473 Individual Practitioner Male Practitioner

Jack Birch

Dentist • Fort Campbell, KY

Professional Overview & Biography Verified Profile Summary

Jack Birch is a registered healthcare professional specializing in Dentist in Fort Campbell, KY. Practice services are available at 650 JOEL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

650 Joel Dr

Fort Campbell, KY 422235318

Telephone 2707988400
Associated Practice Facility / Clinic
🏢 Ach Blanchfield-Ft Campbell Facility NPI 1417044702

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Fort Campbell, KY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.4 Yrs
Regional Practice Density
74 Specialists

Practicing in Fort Campbell, KY (1101 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: 2025-07-30
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License WI 6001525

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jeffrey Sanford , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003470709

Doctor of Medicine (M.D.)

Erik Flolo , LMSW

Social Worker - Clinical

NPI 1003477605

Licensed Master Social Worker

Dr. Mark Mcneely , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003482688

Doctor of Medicine (M.D.)

Darryl Holland , LCSW

Social Worker - Clinical

NPI 1003485897

Licensed Clinical Social Worker

NPI 1003497363

Licensed Master Social Worker

Matthew Cooney

Student in an Organized Health Care Education/Training Program

NPI 1003797523

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location July 30, 2025

Registered at 650 JOEL DR, FORT CAMPBELL, KY 422235318 (Tel: 2707988400)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Dentist (License #6001525 in WI)

NPI Profile Active April 27, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2024

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186 (Tel: 4142886790)

📍
Updated Business Mailing Address April 27, 2024

Registered at 1801 W WISCONSIN AVE, MILWAUKEE, WI 532332186

👤
Provider Name / Credentials Updated April 27, 2024

Recorded as JACK BIRCH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2024

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 27, 2024

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: 1205682473
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2024
Last Update: July 30, 2025
Sole Proprietor: No

Mailing Address

1801 W Wisconsin Ave

Milwaukee, WI 532332186

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.