Timothy Alan Becker, DMD
Individual provider Active NPI Dentist · Fort Campbell, KY
NPI 1245210202 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1245210202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 5725 (KY)
- Practice address
- BLDG 2441 21St Street
USA Dentac
Fort Campbell, KY 42223-5369 - Phone
- (270) 798-8614
- Fax
- (270) 798-8633
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5725 | KY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 5725 | KY | Yes |
| General Practice Dentistry | 1223G0001X | 5725 | KY |
Addresses
Primary practice location
BLDG 2441 21St Street
USA Dentac
Fort Campbell, KY 42223-5369
Mailing address
BLDG 2441 21St Street
USA Dentac
Fort Campbell, KY 42223-5369
Phone (270) 798-8614
Other providers in Fort Campbell, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.