| Campbell Dental Group | |
|
6910 N Main St Unit 58 Granger IN 46530-8412 | |
| (574) 277-4235 | |
| (574) 277-5189 |
| Full Name | Campbell Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6910 N Main St Unit 58, Granger, Indiana |
| Authorized Official Name and Position | Kevin T. Campbell (OWNER) |
| Authorized Official Contact | 5742774235 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Campbell Dental Group 6910 N Main St Unit 58 Granger IN 46530-8412 Ph: (574) 277-4235 | Campbell Dental Group 6910 N Main St Unit 58 Granger IN 46530-8412 Ph: (574) 277-4235 |
| NPI Number | 1699894907 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699894907 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54001487A (Indiana) | Primary |
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