Campbell, Stephen Ian

Campbell, Stephen Ian is an individual health care provider with primary practice located at 6333 E Skelly Dr , Tulsa OK 74135-6106. He recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is his primary health care specialty. Campbell, Stephen Ian can be contacted via phone (918) 664-4224.

Contact Information

Primary practice address
6333 E Skelly Dr Tulsa OK 74135-6106
Phone: (918) 664-4224
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X D10407 Oregon
Dental Providers / General Practice 1223G0001X 4747 Oklahoma
Dental Providers / General Practice 1223G0001X DE8341 Washington
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1659455913
LBN Legal business name Campbell, Stephen Ian
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Mar 24th, 2022 - about 2 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 1659455913 NPPES
Washington Other 8341 STATE LICENSE NUMBER
Washington Other D10407 STATE LICENSE NUMBER
Washington Other 4747 STATE LICENSE NUMBER

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