Campbell, Jordan
Campbell, Jordan is an individual health care provider with primary practice located at 3185 Clearwater Dr Ste B , Prescott AZ 86305-7119. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Campbell, Jordan can be contacted via phone (928) 775-2545.Contact Information
Primary practice address
3185 Clearwater Dr Ste B
Prescott AZ 86305-7119
Phone: (928) 775-2545
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | D011290 | Arizona |
Profile Details
| NPI number | 1194257022 |
|---|---|
| LBN Legal business name | Campbell, Jordan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2017 |
| Last updated | Jan 31st, 2024 - about 11 months 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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