Provider Demographics
NPI:1962661157
Name:CAMPBELL, SABRINA LEEANN (DDS)
Entity Type:Individual
Prefix:DR
First Name:SABRINA
Middle Name:LEEANN
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:SABRINA
Other - Middle Name:LEEANN
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:PO BOX 459
Mailing Address - Street 2:
Mailing Address - City:COLBERT
Mailing Address - State:GA
Mailing Address - Zip Code:30628-0459
Mailing Address - Country:US
Mailing Address - Phone:706-788-3234
Mailing Address - Fax:706-788-2936
Practice Address - Street 1:226 STEVEN B TANGER BLVD
Practice Address - Street 2:
Practice Address - City:COMMERCE
Practice Address - State:GA
Practice Address - Zip Code:30529-3571
Practice Address - Country:US
Practice Address - Phone:706-423-9291
Practice Address - Fax:706-760-5335
Is Sole Proprietor?:No
Enumeration Date:2008-06-03
Last Update Date:2016-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GADN013734122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist