Organization
CAMPBELL DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN T. CAMPBELL DDS (OWNER)
(574) 277-4235
Entity
Organization
Contact information
Practice address
6910 N MAIN ST UNIT 58, GRANGER, IN 46530-8412
(574) 277-4235
(574) 277-5189
Mailing address
6910 N MAIN ST UNIT 58, GRANGER, IN 46530-8412
(574) 277-4235
(574) 277-5189
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
54001487A
IN
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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