Organization
W LYNN CAMPBELL DMD. PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM LYNN CAMPBELL DMD (PRESIDENT)
(803) 732-0900
Entity
Organization
Contact information
Practice address
124 HARBISON BLVD, COLUMBIA, SC 29212-2204
(803) 732-0900
(803) 732-0990
Mailing address
124 HARBISON BLVD, COLUMBIA, SC 29212-2204
(803) 732-0900
(803) 732-0990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC-1311
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9900
—
SC
Enumeration date
01/01/2007
Last updated
02/28/2009
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