Provider Demographics
NPI:1326138777
Name:CAMPBELL, RICK RAY (DDS PC)
Entity Type:Individual
Prefix:DR
First Name:RICK
Middle Name:RAY
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:DDS PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7227 N DREAMY DRAW DR STE 2
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85020-5278
Mailing Address - Country:US
Mailing Address - Phone:602-944-4577
Mailing Address - Fax:602-354-8261
Practice Address - Street 1:7227 N DREAMY DRAW DR STE 2
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85020-5278
Practice Address - Country:US
Practice Address - Phone:602-944-4577
Practice Address - Fax:602-354-8261
Is Sole Proprietor?:No
Enumeration Date:2006-10-14
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARD010428122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist