Landmark Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

166275 Issued in MS

Legal business name

LANDMARK DENTAL GROUP

Practice address

175 E Capitol St
Ste 14
Jackson, MS 39201-2135

Phone

(601) 352-6494

Fax

(601) 354-4853

NPI assigned

Mar 23, 2007

Last updated

Jun 17, 2008By 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. William Michael Campbell, DMD

Title

DMD

Phone

(601) 352-6494

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1700903036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 E CAPITOL ST",
            "address_2": "STE 14",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392012135",
            "telephone_number": "601-352-6494",
            "fax_number": "601-354-4853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 E CAPITOL ST",
            "address_2": "STE 14",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392012135",
            "telephone_number": "601-352-6494",
            "fax_number": "601-354-4853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LANDMARK DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "601-352-6494",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MS",
            "license": "166275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Adrian Lancon, M.D.
• Kelly K Land, CFNP
• Paquita E. Landers, L.M.S.W.
• Felicia D. Landfair, PHYSICAL THERAPIST
• Somona Landfair
• Edward Paul Landry Jr.
• Theresa Lane Fisher, P.A.
• David Forrest Lane, DDS MS PA
• Joseph Austin Lane
• Lashonda Lane

• General Practice Dentistry in Jackson, MS
• Providers in Jackson, MS by specialty
• General Practice Dentistry in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.