Organization
JASON C. CAMPBELL DDS.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUE PRIVETTE (OFFICE MANAGER)
(928) 776-1208
Entity
Organization
Contact information
Practice address
139 WHIPPLE ST, PRESCOTT, AZ 86301-1705
(928) 776-1208
(928) 541-9648
Mailing address
139 WHIPPLE ST, PRESCOTT, AZ 86301-1705
(928) 776-1208
(928) 541-9648
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6176
AZ
Other
Enumeration date
06/30/2009
Last updated
06/30/2009
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