Provider Demographics
NPI:1437775806
Name:CAMPBELL, HALBERT EUGENE III (DDS)
Entity Type:Individual
Prefix:DR
First Name:HALBERT
Middle Name:EUGENE
Last Name:CAMPBELL
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1726 NEUSE RD
Mailing Address - Street 2:
Mailing Address - City:KINSTON
Mailing Address - State:NC
Mailing Address - Zip Code:28501-9190
Mailing Address - Country:US
Mailing Address - Phone:252-624-5165
Mailing Address - Fax:
Practice Address - Street 1:112 BARDEN ST
Practice Address - Street 2:
Practice Address - City:ROXBORO
Practice Address - State:NC
Practice Address - Zip Code:27573-5411
Practice Address - Country:US
Practice Address - Phone:336-599-2689
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-06-22
Last Update Date:2020-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11883122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist