Provider Demographics
NPI:1700632064
Name:CAMPOS-BELUSSI FAMILY DENTAL P.C
Entity Type:Organization
Organization Name:CAMPOS-BELUSSI FAMILY DENTAL P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HUGO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CAMPOS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD, MDSC
Authorized Official - Phone:860-995-3599
Mailing Address - Street 1:254 COCHITUATE RD
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01701-5041
Mailing Address - Country:US
Mailing Address - Phone:508-875-1060
Mailing Address - Fax:
Practice Address - Street 1:254 COCHITUATE RD
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01701-5041
Practice Address - Country:US
Practice Address - Phone:508-875-1060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-27
Last Update Date:2024-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental