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Provider Information for 1407832280

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DR. DENNIS RICHARD CAMPBELL D.D.S., P.A.

Gender: MALE

Individual NPI: 1407832280

Calendar   Last Updated:  2013-08-05
  Certification Date: 

Details

Name Value
NPI 1407832280
Enumeration Date 2005-12-22
NPI Type 1 - Individual
Sole Proprietor YES
Status Active
Mailing Address 172 ASHELAND AVE
ASHEVILLE, NC 28801-4005
United States

Phone: 828-254-7921 | Fax: 828-254-9487
View Map External Link
Primary Practice Address 172 ASHELAND AVE
ASHEVILLE, NC 28801-4005
United States

Phone: 828-254-7921 | Fax: 828-254-9487
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID NC 8991338
Other BILLING NPI 1154536076
Other INDIVIDUAL NPI NC 1407832280
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223P0221X - Dentist Pediatric Dentistry NC 4837