Provider Demographics
NPI:1922586973
Name:ZAMPERINI NAVARRO, CAMILA ANDRADE (DDS)
Entity Type:Individual
Prefix:
First Name:CAMILA
Middle Name:ANDRADE
Last Name:ZAMPERINI NAVARRO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CAMILA
Other - Middle Name:ANDRADE
Other - Last Name:ZAMPERINI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:801 S PAULINA ST
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60612-7210
Mailing Address - Country:US
Mailing Address - Phone:312-996-1036
Mailing Address - Fax:
Practice Address - Street 1:801 NEWTON RD
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1001
Practice Address - Country:US
Practice Address - Phone:319-335-7440
Practice Address - Fax:319-335-7451
Is Sole Proprietor?:No
Enumeration Date:2018-08-01
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL136-0002571223G0001X
IA30535390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No1223G0001XDental ProvidersDentistGeneral Practice