Provider Demographics
NPI:1639201148
Name:CAMPASSI, HELEN LEE (DMD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:LEE
Last Name:CAMPASSI
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:540 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-3006
Mailing Address - Country:US
Mailing Address - Phone:662-494-1869
Mailing Address - Fax:662-494-7883
Practice Address - Street 1:540 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773-3006
Practice Address - Country:US
Practice Address - Phone:662-494-1869
Practice Address - Fax:662-494-7883
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS1981-821223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice