Campbell, Jack Parker

Campbell, Jack Parker is an individual health care provider with primary practice located at 1700 Wells Rd Ste 19 , Orange Park FL 32073-2374. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Campbell, Jack Parker can be contacted via phone (904) 264-9096.

Contact Information

Primary practice address
1700 Wells Rd Ste 19 Orange Park FL 32073-2374
Phone: (904) 264-9096
Fax: (904) 264-4250
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X DN8672 Florida

Profile Details

NPI number 1578618542
LBN Legal business name Campbell, Jack Parker
Credentials D.M.D. P,A,
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Apr 7th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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