# KALKASKA FAMILY DENTAL CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Bayview Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376087759
- **Authorized official:** DR. JAMES ANDREW CAMPBELL D.D.S. (OWNER)
- **Authorized official phone:** (231) 258-9611

## Contact information

- **Practice address:** 134 S CEDAR ST, KALKASKA, MI 49646-9458
- **Practice address phone:** (231) 258-9611
- **Mailing address:** 134 S CEDAR ST, P.O. BOX 700, KALKASKA, MI 49646-9458
- **Mailing address phone:** (231) 258-9611

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 11119 | MI | — |
| 122300000X | Dentist | 165460 | MI | Yes |

## Other

- **Enumeration date:** 12/05/2016
- **Last updated:** 12/05/2016
