NPIMap

Organization Active NPI

Campbell Family and Cosmetic Dentistry

  • Dental Clinic/Center
  • Winder, GA
National Provider Identifier
1235495284
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN014117 Issued in GA
Legal business name
CAMPBELL FAMILY AND COSMETIC DENTISTRY
Practice address
48 Piedmont Dr
Suite 302
Winder, GA 30680-8131
Phone
(770) 868-8788
Fax
(770) 868-8781
NPI assigned
Apr 4, 2012
Last updated
Apr 4, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Authorized official

Name
Dr. Spencer C Campbell, DDSNPI 1023329851
Title
Dentist/Owner
Phone
(770) 868-8788

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN014117 GA Primary

Addresses

Primary practice location

48 Piedmont Dr
Suite 302
Winder, GA 30680-8131

Mailing address

48 Piedmont Dr
Suite 302
Winder, GA 30680-8131
Phone (770) 868-8788

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333497600000",
    "number": "1235495284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 PIEDMONT DR",
            "address_2": "SUITE 302",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808131",
            "telephone_number": "770-868-8788",
            "fax_number": "770-868-8781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 PIEDMONT DR",
            "address_2": "SUITE 302",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808131",
            "telephone_number": "770-868-8788",
            "fax_number": "770-868-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL FAMILY AND COSMETIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "770-868-8788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "GA",
            "license": "DN014117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.