Campbell, William Michael
Campbell, William Michael is an individual health care provider with primary practice located at 405 Masonic Dr , Clinton MS 39056-5335. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Campbell, William Michael can be contacted via phone (601) 924-0226.Contact Information
Primary practice address
405 Masonic Dr
Clinton MS 39056-5335
Phone: (601) 924-0226
Fax: (601) 924-7788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1662-75 | Mississippi |
Profile Details
| NPI number | 1881709996 |
|---|---|
| LBN Legal business name | Campbell, William Michael |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881709996 | NPPES |
| Mississippi | MEDICAID | 00064450 |
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