Fackler, Mitchell Timothy

Fackler, Mitchell Timothy is an individual health care provider with primary practice located at 968 1St Infantry Division Rd , Fort Knox KY 40121-5210. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fackler, Mitchell Timothy can be contacted via phone (502) 626-8314.

Contact Information

Primary practice address
968 1St Infantry Division Rd Fort Knox KY 40121-5210
Phone: (502) 626-8314
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2901601406 Michigan

Profile Details

NPI number 1528792835
LBN Legal business name Fackler, Mitchell Timothy
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2022
Last updated Apr 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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