# CAMPBELL BOURLAND DDS, PLLC

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

## Provider details

- **NPI number:** 1942562756
- **Authorized official:** DR. THOMAS CAMPBELL BOURLAND DDS, MS (OWNER)
- **Authorized official phone:** (214) 564-5597

## Contact information

- **Practice address:** 1151 N BUCKNER BLVD, STE 406, DALLAS, TX 75218-3426
- **Practice address phone:** (214) 328-6354
- **Mailing address:** 1151 N BUCKNER BLVD, STE 406, DALLAS, TX 75218-3426

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 22690 | TX | Yes |

## Other

- **Enumeration date:** 06/08/2012
- **Last updated:** 06/08/2012