NPIMap

Organization Active NPI

Stephanie Campbell DDS LLC

  • Dental Clinic/Center
  • MC Kean, PA
National Provider Identifier
1841620341
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
1508091679 Issued in OH
Legal business name
STEPHANIE CAMPBELL DDS LLC
Practice address
9008 Main St
MC Kean, PA 16426-1454
Phone
(906) 286-0657
NPI assigned
Nov 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Dr. Stephanie Campbell
Title
Owner
Phone
(906) 286-0657

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 1508091679 OH Primary

Addresses

Primary practice location

9008 Main St
MC Kean, PA 16426-1454

Mailing address

9008 Main St
MC Kean, PA 16426-1454

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1384819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1841620341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 MAIN ST",
            "city": "MC KEAN",
            "state": "PA",
            "postal_code": "164261454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9008 MAIN ST",
            "city": "MC KEAN",
            "state": "PA",
            "postal_code": "164261454",
            "telephone_number": "906-286-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPHANIE CAMPBELL DDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-19",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-286-0657",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "OH",
            "license": "1508091679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Kean, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.