Active NPI
Logan Campbell, DDS
- General Practice Dentistry
- Columbia, TN
National Provider Identifier
1083595680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12966
- Practice address
- 706 Lion Pkwy # 4721
Columbia, TN 38401-4721 - Phone
- (931) 388-3384
- NPI assigned
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12966 | TN | Primary |
Addresses
Primary practice location
706 Lion Pkwy # 4721
Columbia, TN 38401-4721
Mailing address
706 Lion Pkwy # 4721
Columbia, TN 38401-4721
Phone (931) 388-3384
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12966 | TN | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1083595680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "706 LION PKWY # 4721",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014721",
"telephone_number": "931-388-3384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "706 LION PKWY # 4721",
"city": "COLUMBIA",
"state": "TN",
"postal_code": "384014721",
"telephone_number": "931-388-3384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "LOGAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "12966",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.