Individual
DR. ROGER DARRELL CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
826 KY 11 N, BOONEVILLE, KY 41314-9155
(606) 593-6395
(606) 593-5916
Mailing address
PO BOX 40, WHITESBURG, KY 41858-0040
(606) 633-4823
(606) 633-1874
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
6753
KY
1223G0001X
General Practice Dentistry
Primary
6753
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60067535
—
KY
Enumeration date
01/16/2007
Last updated
03/21/2016
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