Provider Demographics
NPI:1447901137
Name:RICK R. CAMPBELL DDS PC
Entity type:Organization
Organization Name:RICK R. CAMPBELL DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:R
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-944-4577
Mailing Address - Street 1:7227 N DREAMY DRAW DR STE 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5278
Mailing Address - Country:US
Mailing Address - Phone:602-944-4577
Mailing Address - Fax:602-354-8261
Practice Address - Street 1:7227 N DREAMY DRAW DR STE 2
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5278
Practice Address - Country:US
Practice Address - Phone:602-944-4577
Practice Address - Fax:602-354-8261
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental