Campbell, Joshua A

Campbell, Joshua A is an sole proprietor health care provider with primary practice located at 11213 West Point Dr. , Knoxville TN 37934-2838. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Campbell, Joshua A can be contacted via phone (865) 675-0677.

Contact Information

Primary practice address
11213 West Point Dr. Knoxville TN 37934-2838
Fax: (865) 675-0681
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS8796 Tennessee

Profile Details

NPI number 1104009646
LBN Legal business name Campbell, Joshua A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2007
Last updated Dec 5th, 2019 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1104009646 NPPES
Tennessee MEDICAID 1507709

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