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NPI Code Detail

MEDICARE: DR. AARON LYLE CAMPBELL D.M.D.

MEDICARE: DR. AARON LYLE CAMPBELL 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
11223S0112XOral and Maxillofacial Surgery (Dentist)DN19199FL
21223P0106XOral and Maxillofacial Pathology DentistryDN19199FL
31223X0008XOral and Maxillofacial Radiology DentistryD19199FL

General Provider Information

NPI Number : 1649591637
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AARON LYLE CAMPBELL D.M.D.
Provider Business Mailing Address
First Line : 55 W CHURCH ST
Second Line :
City : ORLANDO
State : FL
Zip : 32801-4931
Country : US
Telephone Number : 614-204-3361
Fax Number :
Provider Business Practice Location Address
First Line : 2045 LEE RD
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-1836
Country : US
Telephone Number : 407-629-4444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2010
Last Update Date : 06/09/2016

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