MEDICARE: DR. WILLIAM D CAMPBELL DMD

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	1223P0106X	Oral and Maxillofacial Pathology Dentistry	10762	GA

General Provider Information

NPI Number	:	1740375500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WILLIAM D CAMPBELL DMD

Provider Business Mailing Address
First Line	:	1818 WARM SPRINGS RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904
Country	:	US
Telephone Number	:	706-324-6106
Fax Number	:

Provider Business Practice Location Address
First Line	:	1818 WARM SPRINGS RD
Second Line	:
City	:	COLUMBUS
State	:	GA
Zip	:	31904
Country	:	US
Telephone Number	:	706-324-6106
Fax Number	:

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

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	01/18/2026

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