Provider Demographics
NPI:1902017783
Name:DAVID B CAMPBELL, DDS, INC
Entity Type:Organization
Organization Name:DAVID B CAMPBELL, DDS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:B
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:972-864-8119
Mailing Address - Street 1:3200 BROADWAY BLVD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-1573
Mailing Address - Country:US
Mailing Address - Phone:972-864-8119
Mailing Address - Fax:972-926-0630
Practice Address - Street 1:3200 BROADWAY BLVD
Practice Address - Street 2:SUITE 340
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1573
Practice Address - Country:US
Practice Address - Phone:972-864-8119
Practice Address - Fax:972-926-0630
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX117891223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty