# CAMPBELL DENTAL ASSOCIATES BRAZIL LLC

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

## Provider details

- **NPI number:** 1518574615
- **Authorized official:** DR. TRENTON MITCHELL CAMPBELL DMD (MEMBER)
- **Authorized official phone:** (706) 346-7944

## Contact information

- **Practice address:** 1204 E NATIONAL AVE, BRAZIL, IN 47834-2718
- **Practice address phone:** (812) 446-1211
- **Mailing address:** 2221 BELLEFONTAINE ST, INDIANAPOLIS, IN 46205-4515
- **Mailing address phone:** (706) 346-7944

## Taxonomy

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

## Other

- **Enumeration date:** 09/23/2020
- **Last updated:** 09/23/2020