Michael S Campbell DDS

Primary specialty

DentistTaxonomy code 122300000X

License

601044129 Issued in WA

Legal business name

MICHAEL S CAMPBELL DDS

Practice address

24722 104TH Ave SE
Suite 101
Kent, WA 98030-5322

Phone

(253) 852-9088

Fax

(253) 852-9003

NPI assigned

Oct 20, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Stanley Campbell, DDSNPI 1770551525

Title

Doctor/Dentist

Phone

(253) 852-9088

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Stanley Campbell, DDS

  • General Practice Dentistry
  • Kent, WA
  • NPI 1770551525
  NPD (past) Authorized official
• Adam Craig Szajman, DDS

  • Dentist
  • Kent, WA
  • NPI 1710408752
  NPD (past)

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

{
    "created_epoch": "1476921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476921600000",
    "number": "1023569308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24722 104TH AVE SE",
            "address_2": "SUITE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305322",
            "telephone_number": "253-852-9088",
            "fax_number": "253-852-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24722 104TH AVE SE",
            "address_2": "SUITE 101",
            "city": "KENT",
            "state": "WA",
            "postal_code": "980305322",
            "telephone_number": "253-852-9088",
            "fax_number": "253-852-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL S CAMPBELL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-20",
        "last_updated": "2016-10-20",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "DOCTOR/DENTIST",
        "authorized_official_telephone_number": "253-852-9088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "WA",
            "license": "601044129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eyasu Meshesha
• Jesse Alan Messerschmidt, D.C.
• Amanda Metcalfe
• Brooke Mewhirter
• Samuel Sebastian Meyer
• Ruth J Michaelis, MD
• Hannah Michaud
• Caroline Mihari
• Joan Mildenstein, O.D.
• Daniel Millar, PT, DPT

• Dentist in Kent, WA
• Providers in Kent, WA by specialty
• Dentist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2016; 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.