Individual
DR. STEPHEN IAN CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6333 E SKELLY DR, TULSA, OK 74135-6106
(918) 664-4224
Mailing address
5809 N 32ND ST, BROKEN ARROW, OK 74014-5119
(509) 939-6364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D10407
OR
1223G0001X
General Practice Dentistry
4747
OK
1223G0001X
General Practice Dentistry
DE8341
WA
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4747
STATE DENTAL LICENSE
OK
01
—
8341
STATE LICENSE NUMBER
WA
01
—
D10407
OREGON DENTAL BOARD
OR
Enumeration date
10/24/2006
Last updated
03/24/2022
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