MEDICARE: MR. CHRISTOPHER MARTIN CAMPUS D.M.D.

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	122300000X	Dentist	DN18259	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1548427933
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER MARTIN CAMPUS D.M.D.

Provider Business Mailing Address
First Line	:	12385 SORRENTO RD
Second Line	:	SUITE B-1
City	:	PENSACOLA
State	:	FL
Zip	:	32507-8664
Country	:	US
Telephone Number	:	850-458-3551
Fax Number	:	850-458-1601

Provider Business Practice Location Address
First Line	:	12385 SORRENTO RD
Second Line	:	SUITE B-1
City	:	PENSACOLA
State	:	FL
Zip	:	32507-8664
Country	:	US
Telephone Number	:	850-458-3551
Fax Number	:	850-458-1601

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

Provider Enumeration Date	:	05/22/2008
Last Update Date	:	06/13/2014

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Directions to “ MR. CHRISTOPHER MARTIN CAMPUS D.M.D.” Practice Location

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