Matthew McKenzie, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7676 Issued in LA

Practice address

7973 W Destiny Blvd
Fort Campbell, KY 42223-5429

Phone

(270) 789-4677

NPI assigned

Jul 31, 2025

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1396629614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 WESSON DR",
            "city": "CLARKSVILLE",
            "state": "TN",
            "postal_code": "370432235",
            "telephone_number": "615-496-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7973 W DESTINY BLVD",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235429",
            "telephone_number": "270-789-4677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-31",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "7676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shirley Fay McGowan, LPC
• Patricia W McGregor, RN
• Autumn Lea McHenry, BSN
• Amy Marie McIntosh, FNP
• Maria Roidan McKenzie, CNP
• Melissa McKinney, DNP CRNA
• George Wesley McMillian, DDS
• Mark William McNeely, MD
• Mary Beth McQuary, R.D., L.D.
• Samuel Aaron McReynolds, PA-S

• General Practice Dentistry in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• General Practice Dentistry in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.