# OAK VALLEY MEDICAL & DENTAL, PC

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

## Provider details

- **NPI number:** 1447493457
- **Authorized official:** SUZANNE Y CAMPBELL DDS (BOARD MEMBER)
- **Authorized official phone:** (845) 658-7763

## Contact information

- **Practice address:** 103 NEW MEADOW RUN DR, FARMINGTON, PA 15437-1391
- **Practice address phone:** (724) 749-1517
- **Mailing address:** 100 SPRING VALLEY RD, FARMINGTON, PA 15437-1390

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 01/13/2022