| King Campbell, D.d.s., P.l.l.c. | |
|
228 Village Dr Pagosa Springs CO 81147-8308 | |
| (970) 731-2126 | |
| (970) 731-2135 |
| Full Name | King Campbell, D.d.s., P.l.l.c. |
|---|---|
| Speciality | Dentist |
| Location | 228 Village Dr, Pagosa Springs, Colorado |
| Authorized Official Name and Position | Garrett King Campbell (OWNER) |
| Authorized Official Contact | 9707312126 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| King Campbell, D.d.s., P.l.l.c. 228 Village Dr Pagosa Springs CO 81147-8308 Ph: (970) 731-2126 | King Campbell, D.d.s., P.l.l.c. 228 Village Dr Pagosa Springs CO 81147-8308 Ph: (970) 731-2126 |
| NPI Number | 1528235207 |
|---|---|
| Provider Enumeration Date | 05/13/2008 |
| Last Update Date | 05/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528235207 | NPI | - | NPPES |
| 23984040 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 7043 (Colorado) | Primary |
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