Individual
DR. JASON RYAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
67 LAFAYETTE ST, NORWICH, CT 06360
(860) 889-5213
Mailing address
270 MCDONALD RD, COLCHESTER, CT 06415
(734) 945-1558
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
009713
CT
1223G0001X
General Practice Dentistry
18583
MI
Other
Enumeration date
11/01/2006
Last updated
07/11/2007
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