William Michael Campbell, DMD
Individual provider Active NPI General Practice Dentistry · Clinton, MS
NPI 1881709996 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1881709996
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 1662-75 (MS)
- Practice address
- 405 Masonic Dr
Clinton, MS 39056-5335 - Phone
- (601) 924-0226
- Fax
- (601) 924-7788
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1662-75 | MS | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 1662-75 | MS | Yes |
Addresses
Primary practice location
405 Masonic Dr
Clinton, MS 39056-5335
Mailing address
405 Masonic Dr
Clinton, MS 39056-5335
Phone (601) 924-0226
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00064450 | Medicaid | MS |
Other providers in Clinton, MS
- William Hudson Byrnes
- Chadwick Cabanero
- Cac Therapy Group, LLC
- Catherine E. Callender
- Tara Cameron
- Fulivia Elma Cannady
- Capitaleyes, Inc
- Care Center of Clinton
- Careplus Lakeview Family Medicine
- Carol Homecare Agency, LLC
All providers in Clinton, MS · General Practice Dentistry in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.