Individual
JORDAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3185 CLEARWATER DR STE B, PRESCOTT, AZ 86305-7119
(928) 775-2545
Mailing address
777 S LAKEVIEW DR, PRESCOTT, AZ 86301-6625
(801) 682-9739
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D011290
AZ
Other
Enumeration date
03/30/2017
Last updated
01/31/2024
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