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NPI Code Detail

MEDICARE: AFFORDABLE DENTURES-MANSFIELD, SUSAN CAMPBELL, DDS, INC

MEDICARE: AFFORDABLE DENTURES-MANSFIELD, SUSAN CAMPBELL, DDS, INC
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
1122300000XDentist

General Provider Information

NPI Number : 1134641897
Entity Type Code : Organization
Provider Name (Legal Business Name) : AFFORDABLE DENTURES-MANSFIELD, SUSAN CAMPBELL, DDS, INC
Provider Business Mailing Address
First Line : 2010 AUGUST DR STE 106
Second Line :
City : ONTARIO
State : OH
Zip : 44906-3350
Country : US
Telephone Number : 419-529-0142
Fax Number :
Provider Business Practice Location Address
First Line : 2010 AUGUST DR STE 106
Second Line :
City : ONTARIO
State : OH
Zip : 44906-3350
Country : US
Telephone Number : 419-529-0142
Fax Number :
Authorized Official
Title or Position : PRACTICE OWNER
Name : SUSAN CAMPBELL
Credential : DDS
Telephone Number : 419-529-0142
Provider Enumeration Date : 07/13/2017
Last Update Date : 07/21/2022

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Directions to “AFFORDABLE DENTURES-MANSFIELD, SUSAN CAMPBELL, DDS, INC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.