Provider Demographics
NPI:1578668448
Name:MARGARET A CAMPBELL DDS PC
Entity Type:Organization
Organization Name:MARGARET A CAMPBELL DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:540-261-7723
Mailing Address - Street 1:2131 MAENOLIA AVE
Mailing Address - Street 2:MARGARET A CAMPBELL DDS PC
Mailing Address - City:BUENA VISTA
Mailing Address - State:VA
Mailing Address - Zip Code:24416
Mailing Address - Country:US
Mailing Address - Phone:540-261-7723
Mailing Address - Fax:540-261-7000
Practice Address - Street 1:2131 MAENOLIA AVE
Practice Address - Street 2:
Practice Address - City:BUENA VISTA
Practice Address - State:VA
Practice Address - Zip Code:24416
Practice Address - Country:US
Practice Address - Phone:540-261-7723
Practice Address - Fax:540-261-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA7168122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA7168OtherDELTA
VA292238OtherANTHEM
625585OtherUNITED CONCORDIA