Healthcare Provider Details

I. General information

NPI: 1386251205
Provider Name (Legal Business Name): CAROLINA CAMPIONI DE OLIVEIRA DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/24/2020
Last Update Date: 06/07/2026
Certification Date: 06/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

282 STATE ROUTE 101
AMHERST NH
03031-1706
US

IV. Provider business mailing address

326 NICHOLS RD
FITCHBURG MA
01420-1914
US

V. Phone/Fax

Practice location:
  • Phone: 603-673-6526
  • Fax:
Mailing address:
  • Phone: 978-878-8100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDL101104
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License NumberDN31168
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number05312
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: