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Individual

DR. JAMES R CAMPBELL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
202 S 4TH ST W, BAKER, MT 59313
(406) 778-5150
(406) 778-5151
Mailing address
PO BOX 1156, BAKER, MT 59313
(406) 778-5150
(406) 778-5151

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1906
MT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0111214
MT
05
111197
MT
01
19064
BLUE CROSS BLUE SHIELD MT
MT
01
40784
BLUE CROSS BLUE SHIELD MT
MT
05
41167
ND
01
5511531
BLUECHIP
MT
01
5511536
BLUECHIP
MT
01
942710
BLUE CROSS BLUE SHIELD ND
ND
Enumeration date
01/23/2007
Last updated
07/08/2007
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