# ST. ROSE FAMILY & COSMETIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417142357
- **Authorized official:** DR. COLIN MICHAEL CAMPBELL D.D.S. (DENTIST)
- **Authorized official phone:** (702) 387-5900

## Contact information

- **Practice address:** 2875 SAINT ROSE PKWY, SUITE 110, HENDERSON, NV 89052-4838
- **Practice address phone:** (702) 387-5900
- **Practice address fax:** (702) 387-5906
- **Mailing address:** 2875 SAINT ROSE PKWY, SUITE 110, HENDERSON, NV 89052-4838
- **Mailing address phone:** (702) 387-5900
- **Mailing address fax:** (702) 387-5906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2007
- **Last updated:** 07/30/2010