Vanessa Menguser Campbell, DDS

Individual provider Active NPI General Practice Dentistry · Holly Springs, NC

NPI 1760699300 · NPPES record last updated Dec 7, 2009

Key facts

NPI
1760699300
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
8076 (NC)
Practice address
420 Village Walk Drive
Holly Springs, NC 27540
Phone
(919) 760-3526
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
8076NCMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 8076 NC Yes

Addresses

Primary practice location

420 Village Walk Drive
Holly Springs, NC 27540

Mailing address

420 Village Walk Drive
Holly Springs, NC 27540
Phone (919) 760-3526

Other providers in Holly Springs, NC

All providers in Holly Springs, NC · General Practice Dentistry in North Carolina

Sources for this page

Verify at the official NPI Registry.