Joe S. Campbell, Ddspc

Primary specialty

DentistTaxonomy code 122300000X

License

6720 Issued in GA

Legal business name

JOE S. CAMPBELL, DDSPC

Practice address

48 Laurel Dr
Elberton, GA 30635-1842

Phone

(706) 283-1820

Fax

(706) 283-1824

NPI assigned

Aug 20, 2009

Organization subpart

No

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

Authorized official

Name

Laurie M Vaughn

Title

Business Assistant

Phone

(706) 283-1820

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Edwin S. Campbell, DMD

  • General Practice Dentistry
  • Elberton, GA
  • NPI 1629089644
  NPD (past)

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250726400000",
    "number": "1114159365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 LAUREL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351842",
            "telephone_number": "706-283-1820",
            "fax_number": "706-283-1824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 LAUREL DR",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306351842",
            "telephone_number": "706-283-1820",
            "fax_number": "706-283-1824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE S. CAMPBELL, DDSPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-20",
        "last_updated": "2009-08-20",
        "status": "A",
        "authorized_official_last_name": "VAUGHN",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BUSINESS ASSISTANT",
        "authorized_official_telephone_number": "706-283-1820"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "GA",
            "license": "6720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dentist in Elberton, GA
• Providers in Elberton, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2009; 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.