Campbell Dental Group
Organization Active NPI General Practice Dentistry · Granger, IN
NPI 1699894907 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1699894907
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 54001487A (IN)
- Legal business name
- CAMPBELL DENTAL GROUP
- Practice address
- 6910 N Main St Unit 58
Granger, IN 46530-8412 - Phone
- (574) 277-4235
- Fax
- (574) 277-5189
- NPI assigned
- Mar 28, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Kevin T. Campbell, DDS
- Title
- Owner
- Phone
- (574) 277-4235
Practitioners 2
-
Joseph E Hickey III, DDS
National Provider Directory
Locations
6910 N Main St
Unit 58
Granger, IN 46530
Phone (574) 277-4235
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 54001487A | IN | Yes |
Addresses
Primary practice location
6910 N Main St Unit 58
Granger, IN 46530-8412
Mailing address
6910 N Main St Unit 58
Granger, IN 46530-8412
Phone (574) 277-4235
Other providers in Granger, IN
- Benjamin Matthew Burkett
- Layne Elizabeth Burns
- Jennifer Burton
- Michele Butcher
- Barbara Marie Calhoun
- David Alexander Campbell
- Kevin Thomas Campbell
- Mary Elizabeth Campbell
- Mary Jo Canaday
- Candescent Health and Wellness, LLC
All providers in Granger, IN · General Practice Dentistry in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.