Kevin Thomas Campbell in Granger - Dentist

Kevin Thomas Campbell - NPI 1346373651

Kevin Thomas Campbell is a Dentist in Granger, Indiana. Kevin Thomas Campbell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kevin Thomas Campbell is 1346373651. The last update date is 2007-07-08.

Kevin Thomas Campbell's current location address is 6910 N Main St Unit 58, Granger, Indiana. You can contact this provider via phone number 5742774235 and fax number 5742775189. The mailing address for Kevin Thomas Campbell is 6910 N Main St Unit 58, Granger, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Thomas Campbell
Address 6910 N Main St Unit 58, Granger, Indiana
Phone Number 5742774235
Fax Number 5742775189
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1346373651
Provider Enumeration Date 2007-03-14
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 6910 N Main St Unit 58
City Granger
State Indiana (IN)
Post Code 465308412
Phone Number 5742774235
Fax Number 5742775189

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 12008246A
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

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FAQs about Kevin Thomas Campbell

What is the unique 10-digit identification code assigned to Kevin Thomas Campbell by the Centers for Medicare & Medicaid Services?

The Kevin Thomas Campbell has been issued the NPI (National Provider Identifier) 1346373651, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Where is the Kevin Thomas Campbell located?

The Kevin Thomas Campbell is located at 6910 N Main St Unit 58, Granger, IN 465308412.

What is the Kevin Thomas Campbell's specialty and taxonomy code?

The Kevin Thomas Campbell's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1346373651 to Kevin Thomas Campbell?

The Centers for Medicare & Medicaid Services originally issued the 1346373651 to Kevin Thomas Campbell on 2007-03-14.

As of what date were the details related to Kevin Thomas Campbell most recently updated or revised?

The information pertaining to Kevin Thomas Campbell, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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