CAMPBELL DENTAL GROUP NPI 1699894907

Dentist (General Practice) in Granger, IN

NPI 1699894907 Organization Dentist General Practice

About CAMPBELL DENTAL GROUP

Campbell Dental Group is a provider established in Granger, Indiana specializing in dentist (general practice) . The NPI number of Campbell Dental Group is 1699894907 and was assigned on March 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 54001487A (IN). The provider is registered as an organization and their NPI record was last updated one year ago. Campbell Dental Group operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Kevin T. Campbell Dds (Owner)

A dentist like Campbell Dental Group is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1699894907

Provider NameCAMPBELL DENTAL GROUP
Provider Location Address6910 N MAIN ST UNIT 58 GRANGER, IN 46530
Provider Mailing Address6910 N MAIN ST UNIT 58 GRANGER, IN 46530
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date03-28-2007
Last Update Date08-22-2020


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.54001487A
License StateIN
Taxonomy DescriptionA general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Business Address

CAMPBELL DENTAL GROUP
6910 N MAIN ST UNIT 58
GRANGER, IN
ZIP 46530
Phone: (574) 277-4235
Fax: (574) 277-5189

Get Directions


Mailing Address

CAMPBELL DENTAL GROUP
6910 N MAIN ST UNIT 58
GRANGER, IN
ZIP 46530
Phone: (574) 277-4235
Fax: (574) 277-5189



Authorized Official

Authorized Official NameDR. KEVIN T. CAMPBELL DDS
Authorized Official TitleOWNER
Authorized Official Phone(574) 277-4235

Group Taxonomy


193400000X MULTIPLE SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346373651 KEVIN THOMAS CAMPBELL DDS
Individual
Dentist6910 N MAIN ST UNIT 58
GRANGER, IN 46530
(574) 277-4235

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.