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NPI Code Detail

MEDICARE: HARRY LEE CAMPBELL JR. D.D.S.

MEDICARE: HARRY LEE CAMPBELL JR. D.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
11223G0001XGeneral Practice DentistryNY051087-1NY

General Provider Information

NPI Number : 1639253552
Entity Type Code : Individual
Provider Name (Legal Business Name) : HARRY LEE CAMPBELL JR. D.D.S.
Provider Business Mailing Address
First Line : 905 REGENCY CT
Second Line :
City : MIDDLETOWN
State : NY
Zip : 10940-1709
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 260 AVENUE X
Second Line :
City : BROOKLYN
State : NY
Zip : 11223-5940
Country : US
Telephone Number : 718-522-3399
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2006
Last Update Date : 07/02/2024

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