MEDICARE: CAMPOS DENTAL AESTHETICS

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	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1336098912
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAMPOS DENTAL AESTHETICS

Provider Business Mailing Address
First Line	:	104 WINN ST
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-3101
Country	:	US
Telephone Number	:	781-272-1150
Fax Number	:

Provider Business Practice Location Address
First Line	:	104 WINN ST
Second Line	:
City	:	BURLINGTON
State	:	MA
Zip	:	01803-3101
Country	:	US
Telephone Number	:	781-272-1150
Fax Number	:

Authorized Official
Title or Position	:	OWNER/DENTIST
Name	:	DR. BERNADETE M CAMPOS
Credential	:	DMD
Telephone Number	:	978-587-5838

Provider Enumeration Date	:	01/26/2026
Last Update Date	:	01/26/2026

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Directions to “CAMPOS DENTAL AESTHETICS ” Practice Location

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