MEDICARE: DR. CASSANDRA CLARK CAMPBELL DDS, MS

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	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	33921	TX

General Provider Information

NPI Number	:	1295226967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CASSANDRA CLARK CAMPBELL DDS, MS

Provider Business Mailing Address
First Line	:	834 PALATINE CT
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96001-0176
Country	:	US
Telephone Number	:	530-515-8502
Fax Number	:

Provider Business Practice Location Address
First Line	:	4902 GOLDEN QUAIL STE 100
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78240-1637
Country	:	US
Telephone Number	:	210-690-0662
Fax Number	:

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

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	05/29/2018

Similar Medicare Providers

1912960998 — SELECT PHYSICAL THERAPY TEXAS LIMITED PARTNERSHIP
Practice Location Address:

606 SW MILITARY DR
SAN ANTONIO, TX
78221-1637

Practice Phone: 210-924-2005
Practice Fax: 210-924-2053

1194985051 — WE CARE RESIDENTIAL SERVICE
Practice Location Address:

259 CHARCLIFF DR
SAN ANTONIO, TX
78220-1637

Practice Phone: 210-781-3215
Practice Fax: 210-281-5791

1548554645 — CONTINUA HEALTH CARE INC.
Practice Location Address:

926 BROOKLYN AVE
SAN ANTONIO, TX
78215-1637

Practice Phone: 210-224-5481
Practice Fax:

1659763316 — BTDI JV, LLP
Practice Location Address:

614 SW MILITARY DR
SAN ANTONIO, TX
78221-1637

Practice Phone: 615-661-9200
Practice Fax: 615-661-9297

1790168417 — SAN ANTONIO HEAD & NECK SURGICAL ASSOCIATES
Practice Location Address:

926 BOOKLYN AVE
SAN ANTONIO, TX
78215-1637

Practice Phone: 210-616-0283
Practice Fax: 210-616-0071

1700230604 — MICHELLE RENAE GONZABA
Practice Location Address:

926 BROOKLYN AVE
SAN ANTONIO, TX
78215-1637

Practice Phone: 201-229-9282
Practice Fax: 210-229-9283

Directions to “ DR. CASSANDRA CLARK CAMPBELL DDS, MS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.