Richard Whiteman Campbell, DDS
Individual provider Active NPI General Practice Dentistry · Minden, LA
NPI 1366617342 · NPPES record last updated Apr 29, 2008
Key facts
- NPI
- 1366617342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 2797 (LA)
- Practice address
- 714 Goode Ave
Minden, LA 71055-2932 - Phone
- (318) 377-2745
- Fax
- (318) 377-2746
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2797 | LA | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2797 | LA | Yes |
Addresses
Primary practice location
714 Goode Ave
Minden, LA 71055-2932
Mailing address
714 Goode Ave
Minden, LA 71055-2932
Phone (318) 377-2745
Other providers in Minden, LA
- Erin Burgess
- Jessica Cara Butler
- George Wayne Byram Jr.
- Fred V Cabaniss
- Terry Caesar
- Warren Cary
- Shamonica Castle
- Shirley Cato
- Chad E Lewis MD a Professional Medical Corporation
- Changing Behavior Services of Minden LLC
All providers in Minden, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 29, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.