Individual
MARY E. CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
101 TOWN AND COUNTRY LN, HAZARD, KY 41701-9524
(606) 435-7676
(606) 436-5139
Mailing address
PO BOX 1988, HAZARD, KY 41702-1988
(606) 435-7676
(606) 436-5139
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7981
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60-002037
—
KY
Enumeration date
07/26/2006
Last updated
01/15/2020
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