# CAMPBELL DENTAL GROUP

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

## Provider details

- **NPI number:** 1699894907
- **Authorized official:** DR. KEVIN T. CAMPBELL DDS (OWNER)
- **Authorized official phone:** (574) 277-4235

## Contact information

- **Practice address:** 6910 N MAIN ST UNIT 58, GRANGER, IN 46530-8412
- **Practice address phone:** (574) 277-4235
- **Practice address fax:** (574) 277-5189
- **Mailing address:** 6910 N MAIN ST UNIT 58, GRANGER, IN 46530-8412
- **Mailing address phone:** (574) 277-4235
- **Mailing address fax:** (574) 277-5189

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 54001487A | IN | Yes |

## Other

- **Enumeration date:** 03/28/2007
- **Last updated:** 08/22/2020