Organization
ATHENS DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDON J CAMPBELL DDS (OWNER/PRESIDENT)
(256) 232-3415
Entity
Organization
Contact information
Practice address
721 W MARKET ST, SUITE A, ATHENS, AL 35611-2456
(256) 232-3415
(256) 230-2648
Mailing address
721 W MARKET ST, SUITE A, ATHENS, AL 35611-2456
(256) 232-3415
(256) 230-2648
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3577
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366522989
INDIVIDUAL PROVIDER
—
Enumeration date
12/05/2007
Last updated
04/01/2010
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