JACKIE CALLAWAY-CAMPBELL DT
NPI 1326613787
Dental Therapist in Delano, MN

Active since May 26, 2021
405 BABCOCK BLVD E STE 130, DELANO, MN 55328(763) 276-1410(763) 276-1411 Get Directions Write a Review

NPPES record last updated: May 26, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jackie Callaway-campbell Dt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKIE CALLAWAY-CAMPBELL DT (NPI 1326613787) is an individual dental therapist in Delano, Minnesota, licensed in Minnesota (DT136) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1326613787
Entity TypeIndividualFemale
Primary Taxonomy125J00000X
Provider Legal NameJACKIE CALLAWAY-CAMPBELLCredential: DT
Location Address405 BABCOCK BLVD E STE 130Delano, MN 55328-9144
Mailing Address414 7th St Se Apt 103Minneapolis, MN 55414-1272 · (302) 598-3863
Fax(763) 276-1411
Sole ProprietorNo
Enumeration DateMay 26, 2021
NPPES CertifiedMay 26, 2021
NPI 1326613787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental TherapistDental Providers
Taxonomy Code125J00000X
License Licensed in MN · DT136
Definition

A Dental Therapist is an individual who has completed an accredited or non-accredited dental therapy program and who has been authorized by the relevant state board or a tribal entity to provide services within the scope of their practice under the supervision of a dentist. Functions that may be delegated to the dental therapist vary based on the needs of the dentist, the educational preparation of the dental therapist and state dental practice acts and regulations.

405 BABCOCK BLVD E STE 130, Delano, MN 55328

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
405 BABCOCK BLVD E STE 130
DELANO, MN 55328

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Callaway-campbell's NPI number?

The NPI number for Jackie Callaway-campbell is 1326613787. It was assigned to this individual provider in the NPPES registry on May 26, 2021.

Where is Jackie Callaway-campbell located?

Jackie Callaway-campbell practices at 405 Babcock Blvd E Ste 130, Delano, MN 55328. The listed phone number is (763) 276-1410.

What is Jackie Callaway-campbell's specialty?

The primary specialty registered for this NPI is Dental Therapist with taxonomy code 125J00000X.

When was this NPI record last updated?

The NPPES record for Jackie Callaway-campbell was last updated on May 26, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.