# DR. MICHAEL PETER CAMPEAU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1336137645
- **Gender:** Man
- **Credential:** DDS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 2901018633 | MI | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 08/09/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 381908328 | GOLDEN DENTAL PLANS | — |
| 01 | — | 381908328020 | DENTAL BLUE | — |
| 05 | — | 4527190 | — | MI |
| 01 | — | 88096MI | WADSWORTH | — |
| 01 | — | 88123MI | BAYSIDE | — |
| 01 | — | 88170MI | OUTER DRIVE | — |
| 01 | — | 88171MI | COMMERCE | — |
| 01 | — | D801095 | BLUE CROSS | — |
| 01 | — | O1493248 | UNITED CONCORDIA | — |