Individual
DR. BENJAMIN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3136 KATIE IDA LN, SUN PRAIRIE, WI 53590-9273
(828) 572-8376
Mailing address
3136 KATIE IDA LN, SUN PRAIRIE, WI 53590-9273
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021.002951
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
6491-15
WI
Other
Enumeration date
08/19/2006
Last updated
01/09/2023
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