| Dr Lisa Michele Campbell, DDS | |
|
950 County Road 17a W, Avon Park, FL 33825-2164 | |
| (863) 452-3000 | |
| (863) 452-3069 |
| Full Name | Dr Lisa Michele Campbell |
|---|---|
| Gender | Female |
| Speciality | Dentist - General Practice |
| Location | 950 County Road 17a W, Avon Park, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659594497 | NPI | - | NPPES |
| 7285021 | Other | OH | PROVIDER IDENTIFICATION # |
| DN 19206 | Other | FL | FLORIDA LICENSE |
| 003001500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 21248 (Texas) | Secondary |
| 122300000X | Dentist | 19960 (Ohio) | Secondary |
| 1223G0001X | Dentist - General Practice | DN 19206 (Florida) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa Michele Campbell, DDS 950 County Road 17a W, Avon Park, FL 33825-2164 Ph: (863) 452-3000 | Dr Lisa Michele Campbell, DDS 950 County Road 17a W, Avon Park, FL 33825-2164 Ph: (863) 452-3000 |
Dr. Marc A Sander, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1048 Us 27 S Suite 1060, Highlands Plaza, Avon Park, FL 33825 Phone: 863-784-0463 Fax: 863-784-0465 | |
Richard M. A. Wood, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1701 Us Highway 27 N, Avon Park, FL 33825 Phone: 863-453-3258 | |
Dr. Michelle Sarah Modaff, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 950 County Road 17a W, Avon Park, FL 33825 Phone: 863-452-3000 | |
Dr. Denise Gomara, DMD Dentist Medicare: Medicare Enrolled Practice Location: 950 County Road 17a W, Avon Park, FL 33825 Phone: 863-452-3000 Fax: 863-452-3002 | |
Michael Austin Brown, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 950 County Road 17a W, Avon Park, FL 33825 Phone: 866-234-8534 | |
Dr. William Chen, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 2356 Hartford Dr, Avon Park, FL 33825 Phone: 863-452-2049 |