Provider Demographics
NPI:1982727269
Name:CAMPBELL, RONALD CHRISTOPHER (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:CHRISTOPHER
Last Name:CAMPBELL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3011 GINTER LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-4313
Mailing Address - Country:US
Mailing Address - Phone:281-392-6628
Mailing Address - Fax:281-693-6303
Practice Address - Street 1:1150 S MASON RD
Practice Address - Street 2:SUITE 102
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-3934
Practice Address - Country:US
Practice Address - Phone:281-693-3200
Practice Address - Fax:281-693-6303
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX149531223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223E0200XDental ProvidersDentistEndodontics