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DR. ROGER DARRELL CAMPBELL D.M.D.

>> Dentist >> Dental Providers

Registrant NPI Number: 1457402125

Individual Registrant:
DR. ROGER DARRELL CAMPBELL D.M.D.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
826 KY 11 N  BOONEVILLE, KY 41314-9155 US
Tel: 606-593-6395  Fax: 606-593-5916

Contact information for business:
PO BOX 40  WHITESBURG, KY 41858-0040 US
Tel: 606-633-4823  Fax: 606-633-1874

Registration Information:
NPI: 1457402125
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N122300000XDental Providers
Dentist
KY6753
Y1223G0001XDental Providers
Dentist
KY6753

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
60067535KY05




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