The Campbell Dental Group

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

012250 Issued in GA

Legal business name

THE CAMPBELL DENTAL GROUP

Practice address

4840 Roswell Rd NE
Building a Suite 100
Atlanta, GA 30342-2639

Phone

(404) 256-0009

NPI assigned

May 27, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Wendell W Campbell III, DDSNPI 1487839239

Title

President

Phone

(404) 256-0009

Specialties & licenses 2

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Wendell Campbell

  • Dentist
  • Atlanta, GA
  • NPI 1487839239
  NPD (past) Authorized official
• Monica Willis-Campbell, DDS

  • Dentist
  • Atlanta, GA
  • NPI 1972788115
  NPD (past)

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

{
    "created_epoch": "1211846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1992963086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5478",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311070478",
            "telephone_number": "404-256-0009",
            "fax_number": "404-256-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 ROSWELL RD NE",
            "address_2": "BUILDING A SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422639",
            "telephone_number": "404-256-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CAMPBELL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-27",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "WENDELL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-256-0009",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012250",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "012249",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.