Edwin S. Campbell, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

10536 Issued in GA

Practice address

48 Laurel Dr
Elberton, GA 30635-1842

Phone

(706) 283-1820

Fax

(706) 283-1824

NPI assigned

Aug 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J & E Dental Services, LLC

  • General Practice Dentistry
  • Elberton, GA
  • NPI 1689235087
  NPD (past)
• Joe S. Campbell, Ddspc

  • Dentist
  • Elberton, GA
  • NPI 1114159365
  NPD (past)

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1629089644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 761",
            "city": "ELBERTON",
            "state": "GA",
            "postal_code": "306350761",
            "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": {
        "last_name": "CAMPBELL",
        "first_name": "EDWIN",
        "middle_name": "S.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "10536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00732531A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kristine Burden, RPH
• Jeffrey Allen Burke, RPH
• Melinda D Burton
• Benjamin Adam Butts, PHARM.D
• Christopher Lee Caldwell, PHD
• Carter Emergency Physicians
• Amanda Erwin Chandler, DMD
• Paul Chukelu, M.D. M.P.H
• City of Angels
• Denise Vernall Clark, EMT

• General Practice Dentistry in Elberton, GA
• Providers in Elberton, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.