Campbell Bourland DDS, PLLC

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

22690 Issued in TX

Legal business name

CAMPBELL BOURLAND DDS, PLLC

Practice address

1151 N Buckner Blvd
Ste 406
Dallas, TX 75218-3426

Phone

(214) 328-6354

NPI assigned

Jun 8, 2012

Last updated

Jun 8, 2012By 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. Thomas Campbell Bourland, DDS, MS

Title

Owner

Phone

(214) 564-5597

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Luther Jack Bolton, DDS MSD

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
  • NPI 1730219783
  NPD (past)

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1942562756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "STE 406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 N BUCKNER BLVD",
            "address_2": "STE 406",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183426",
            "telephone_number": "214-328-6354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMPBELL BOURLAND DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "BOURLAND",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "CAMPBELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-564-5597",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Camp, M.D.
• Simona Campa, DNP, ACNP-BC
• Lauri B Campagna, MD
• Nicholas Campalans
• Shyann Mikaell Campana, M.A.
• Campbell Dental P.a.
• Campbell University Inc (Campbell University Athletics)
• Aleia Campbell, MS, LPC-A, NCC
• Andrew Foil Campbell, M.D.
• April Nicole Campbell, PA-C

• Oral and Maxillofacial Surgery (Dentist) in Dallas, TX
• Providers in Dallas, TX by specialty
• Oral and Maxillofacial Surgery (Dentist) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; 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.