Fitzroy George Campbell, D.M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

045820-1 Issued in NY

Practice address

405 Cozine Ave
Brooklyn, NY 11207-9237

Phone

(718) 927-2530

Fax

(718) 927-2381

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962610071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 COZINE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079237",
            "telephone_number": "718-927-2530",
            "fax_number": "718-927-2381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 COZINE AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112079237",
            "telephone_number": "718-927-2530",
            "fax_number": "718-927-2381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "FITZROY",
        "middle_name": "GEORGE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NY",
            "license": "045820-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020713873",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Danicia Campbell
• Daphnelyn Campbell
• Dennis Campbell, LMSW
• Douglas E Campbell, DPM
• Elishe Campbell
• Floyd Campbell
• Geoffrey Campbell, DO
• Giselle Campbell, M.S., CCC-SLP, TSSLD
• Harry Lee Campbell Jr., D.D.S.
• Hilma L Campbell, PMHNP

• Oral and Maxillofacial Surgery (Dentist) in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Oral and Maxillofacial Surgery (Dentist) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.