MEDICARE: DR. HUGO CESAR CAMPOS D.M.D, M.D.S

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	DN1857924	MA
2	1223X0008X	Oral and Maxillofacial Radiology Dentistry	DN1857924	MA

General Provider Information

NPI Number	:	1033473194
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUGO CESAR CAMPOS D.M.D, M.D.S

Provider Business Mailing Address
First Line	:	1 KNEELAND ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111-1527
Country	:	US
Telephone Number	:	860-995-3599
Fax Number	:

Provider Business Practice Location Address
First Line	:	1 KNEELAND ST
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02111
Country	:	US
Telephone Number	:	617-636-3582
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/03/2012
Last Update Date	:	03/03/2026

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