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General NPI Number Information
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NPI Number | 1093334443
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Entity Type | Individual
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Provider Name | CONOR CAMPBELL DMD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2020
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 3512 SILVERSIDE RD STE 12
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City | WILMINGTON
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State | DE
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Zip | 19810-4913
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Country | US
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Telephone | 845-649-8717
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Fax |
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Provider Business Mailing Address
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Address Line | 3512 SILVERSIDE RD STE 12
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City | WILMINGTON
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State | DE
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Zip | 19810-4913
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Country | US
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Telephone | 302-477-1800
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Fax | 302-477-0343
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | G1-0011568
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License Number State | DE
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