Dr Roger Darrell Campbell, DMD is a
Dentist - General Practice based in Booneville, Kentucky. Dr Roger Darrell Campbell is licensed to practice in Kentucky (license number 6753) and his current practice location is
826 Ky 11 N, Booneville, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(606) 593-6395.
NPI number for Dr Roger Darrell Campbell is 1457402125 and his current mailing address is Po Box 40, Whitesburg, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1457402125.
Healthcare Provider's Profile
| Full Name | Dr Roger Darrell Campbell |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 826 Ky 11 N, Booneville, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1457402125
- Provider Enumeration Date: 01/16/2007
- Last Update Date: 03/21/2016
Medical Identifiers
Medical identifiers for Dr Roger Darrell Campbell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457402125 | NPI | - | NPPES |
| 60067535 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 6753 (Kentucky) | Primary |
| 122300000X | Dentist | 6753 (Kentucky) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roger Darrell Campbell is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Roger Darrell Campbell, DMD
Po Box 40,
Whitesburg, KY 41858-0040
Ph: (606) 633-4823 | Dr Roger Darrell Campbell, DMD
826 Ky 11 N,
Booneville, KY 41314-9155
Ph: (606) 593-6395 |
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