Randall L Campbell in Duluth - Dentist

Randall L Campbell - NPI 1417173618

Randall L Campbell is a Dentist in Duluth, Georgia. Randall L Campbell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Randall L Campbell is 1417173618. The last update date is 2007-07-08.

Randall L Campbell's current location address is 3540 Duluth Park Ln, Duluth, Georgia. You can contact this provider via phone number 7704978010 and fax number 7704978365. The mailing address for Randall L Campbell is 3540 Duluth Park Ln, Duluth, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Randall L Campbell
Address 3540 Duluth Park Ln, Duluth, Georgia
Phone Number 7704978010
Fax Number 7704978365
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1417173618
Provider Enumeration Date 2007-04-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3540 Duluth Park Ln
City Duluth
State Georgia (GA)
Post Code 300966674
Phone Number 7704978010
Fax Number 7704978365

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 10305
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00342372A GA --

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FAQs about Randall L Campbell

What is the unique 10-digit identifier code assigned to Randall L Campbell by the Centers for Medicare & Medicaid Services?

The Randall L Campbell has been issued the NPI (National Provider Identifier) 1417173618 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Randall L Campbell's facilities are situated?

The facilities of Randall L Campbell are physically located at the following address: 3540 Duluth Park Ln, Duluth, GA, 300966674.

What is Randall L Campbell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Randall L Campbell is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1417173618 to Randall L Campbell?

The Centers for Medicare & Medicaid Services assigned the 1417173618 to Randall L Campbell on 2007-04-17.

When was the Randall L Campbell's information last updated?

The Randall L Campbell's information was last updated on 2007-07-08.

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