Individual
DR. JARED AMBROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2441 21ST ST, FORT CAMPBELL, KY 42223-5582
(270) 798-8953
Mailing address
525 WOODTRACE DR, CLARKSVILLE, TN 37042-6185
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11440
KY
Other
Enumeration date
08/12/2025
Last updated
08/12/2025
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