Campbell Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN012764 Issued in GA

Legal business name

CAMPBELL DENTAL PC

Practice address

48 Piedmont Dr
Suite 302
Winder, GA 30680-8131

Phone

(770) 868-8788

NPI assigned

May 7, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason Michael Campbell

Title

Owner

Phone

(770) 868-8788

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699988907",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-868-8788",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN012764",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CAMPBELL DORAL #",
            "identifier": "100615",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CLARKSON DORAL #",
            "identifier": "9182246",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. CAMPBELL AVESIS #",
            "identifier": "9182323",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teresa Brown
• Precious Bryant
• Amber Bullard-Delmarter
• Stacy Ivin Burke, PHARMD
• Fay Stapleton Burnett, D.M.D.
• Campbell Family and Cosmetic Dentistry
• Spencer Cole Campbell, DDS
• Karen M Canupp, OD
• Careview Home Health LLC
• Carmichaels Home Medical Equipment Inc (AeroCare)

• General Practice Dentistry in Winder, GA
• Providers in Winder, 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 Aug 22, 2020; 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.