Colonial Dental Group

LBN: Deirder M Campbell
Colonial Dental Group is an health care organization with primary practice located at 4447 Camino Real Way , Fort Myers FL 33966-1019. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Deirder M Campbell can be contacted via phone (239) 936-7400, or through Campbell, Deirdre M via phone (239) 936-7400.

Contact Information

Primary practice address
4447 Camino Real Way Fort Myers FL 33966-1019
Phone: (239) 936-7400
Fax: (239) 936-7696
Website:
Map and Directions
Authorized official contact:
Name: Campbell, Deirdre M Doctor of Dental Medicine (DMD)
Phone: (239) 936-7400

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X DN16533 Florida

Profile Details

NPI number 1669642641
LBN Legal business name Deirder M Campbell
DBA Doing business as Colonial Dental Group
Authorized official Campbell, Deirdre M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 6th, 2008
Last updated Mar 6th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669642641 NPPES
Florida Other 62322 BC/BS
Florida Other 4131731 BC/BS

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