Individual provider Active NPI

William D. Campbell, D.D.S.

  • General Practice Dentistry
  • Sterling Heights, MI
National Provider Identifier
1790729754
Registry record updated Aug 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2901010210 Issued in MI
Practice address
5555 Metro Pkwy
Suite 100
Sterling Heights, MI 48310-4102
Phone
(586) 977-8888
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 2901010210 MI Primary

Addresses

Primary practice location

5555 Metro Pkwy
Suite 100
Sterling Heights, MI 48310-4102

Mailing address

5555 Metro Pkwy
Suite 100
Sterling Heights, MI 48310-4102
Phone (586) 977-8888

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2901010210MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. William D. Campbell Current Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1790729754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 METRO PKWY",
            "address_2": "SUITE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104102",
            "telephone_number": "586-977-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 METRO PKWY",
            "address_2": "SUITE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104102",
            "telephone_number": "586-977-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "WILLIAM",
        "middle_name": "D.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901010210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2021; 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.