Campbell Oral Surgery and Dental Implant Center

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

10762 Issued in GA

Legal business name

CAMPBELL ORAL SURGERY AND DENTAL IMPLANT CENTER

Practice address

1818 Warm Springs Rd
Columbus, GA 31904-8029

Phone

(877) 705-0001

Fax

(888) 878-2118

NPI assigned

Nov 2, 2009

Organization subpart

No

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

Authorized official

Name

Linda Abernathy

Title

Business Office Director

Phone

(877) 705-0001

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1548596141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048029",
            "telephone_number": "877-705-0001",
            "fax_number": "888-878-2118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WARM SPRINGS RD",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319048029",
            "telephone_number": "877-705-0001",
            "fax_number": "888-878-2118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL ORAL SURGERY AND DENTAL IMPLANT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "ABERNATHY",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "BUSINESS OFFICE DIRECTOR",
        "authorized_official_telephone_number": "877-705-0001"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "GA",
            "license": "10762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000393478C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lexie Nicole Cameron, RBT
• Tara Cameron
• Camilo and Elizabeth Gabiana MDS
• Rena' Camon, MSN, APRN, FNP-C
• Denise Camp
• Allyson Jaide Campbell, PA-C
• Antwoinne Campbell, BS
• Breanna Campbell, LPN
• Gabrelle Campbell
• Glynnis Campbell

• Oral and Maxillofacial Surgery (Dentist) in Columbus, GA
• Providers in Columbus, GA by specialty
• Oral and Maxillofacial Surgery (Dentist) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.