ROY CAMPBELL


Address: 205 South St, Fort Bragg, CA 95437-5540
Phone: 7078614088

ROY CAMPBELL (NPI# 1477046027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477046027
Entity Type Individual
Full Name ROY CAMPBELL
Credential RDA
Practice Address 205 South St
Fort Bragg
CA 95437-5540
Practice Telephone 7078614088
Mailing Telephone 7078614088
Enumeration Date 2018-06-08
Last Update Date 2018-06-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 124Q00000X Dental Hygienist 12967 CA Dental Providers

Office Location

Street Address 205 SOUTH ST
City FORT BRAGG
State CA
Zip Code 95437-5540

Providers in the same location

NPI Name Taxonomy Address Enumeration
1508861782 Wade Joseph Gray Family Medicine 205 South St, Fort Bragg, CA 95437-5540 2005-06-15
1457861783 Andrea Masters Nurse Practitioner 205 South St, Fort Bragg, CA 95437-5540 2017-09-29
1437501566 Jae Do Kim Dentist 205 South St, Fort Bragg, CA 95437-5540 2016-07-13
1558790774 Nadege Nerette Physician Assistant 205 South St, Fort Bragg, CA 95437-5540 2013-11-07
1932532272 Svetlana Romanovna Mulcahy Nurse Practitioner 205 South St, Fort Bragg, CA 95437-5540 2013-08-09
1013257831 Kimberly Jill Celeri Dental Hygienist 205 South St, Fort Bragg, CA 95437-5540 2013-02-15
1821340480 Genevieve Marilyn Gonzalez Counselor 205 South St, Fort Bragg, CA 95437 2012-10-08
1447500988 Ted Michael Aames Counselor 205 South St, Fort Bragg, CA 95437-5540 2012-09-12
1740587229 Wendy J Carvajal Dentist 205 South St, Fort Bragg, CA 95437-5540 2011-02-18
1073841540 Lynne Barbara Bornheim Social Worker 205 South St, Fort Bragg, CA 95437 2009-11-21
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902357437 Mendocino Coast Hospitality Center Community/Behavioral Health 137 E. Oak Street, Fort Bragg, CA 95437 2016-10-19
1144604570 Erin Paul Community Health Worker 474 South Franklin Street, Fort Bragg, CA 95437 2015-07-15
1508125790 Joel Macgregor Green Marriage & Family Therapist 331- G Redwood Ave., Fort Bragg, CA 95437 2012-05-09
1013244102 Jenna Glasscock Counselor 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 2009-11-10
1770819641 Patrick Lenaghan Emergency Medicine 707 River Dr, Fort Bragg, CA 95437 2009-10-27
1043455827 M. Lee Baker Dentist 890 River Dr, Fort Bragg, CA 95437 2008-12-09
1528250495 Christine Anne Samas Social Worker 656a Harrison St., Fort Bragg, CA 95437 2007-08-15
1083822811 Katharine L. White Marriage & Family Therapist 137 E Oak Street, Fort Bragg, CA 95437 2007-05-17
1053525873 Marty Christine Johnson Marriage & Family Therapist 331 E. Redwood Ave, Fort Bragg, CA 95437 2007-05-10
1528114741 Kate Teresa Donohue Psychologist 19201 Noyo Acres Dr, Fort Bragg, CA 95437 2007-01-29
Find all providers in zip 95437

Taxonomy Information

Taxonomy Code 124Q00000X
Grouping Dental Providers
Classification Dental Hygienist

Taxonomy Definition

An individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary.
Notes: Source: Comprehensive Policy Statement on Dental Auxiliaries, American Dental Association.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568003093 Patricia Elizabeth Anderson Dental Hygienist 3718 Gruber Rd Bldg H, Fort Bragg, NC 28310-8934 2019-10-07
1225695273 Breona Lister Dental Hygienist 38 17 Gruber Rd, Fort Bragg, NC 28303 2019-05-24
1215483094 Shantryce Monique Boatwright Crump Dental Hygienist 2617 Rielly Road, Fort Bragg, NC 28310 2016-08-31
1154773349 Fay Alleyne Dental Hygienist H-3718 Gruber Rd, Fort Bragg, NC 28310-0001 2016-07-12
1922450113 Rebecca Davis Dental Hygienist 3718h-3718 Gruber Rd, Fort Bragg, NC 28310-0001 2016-07-12
1629356019 Barbara A Mullins Dental Hygienist Building C-6238 Ardennes Drive, Laflamme Dental Clinic, Fort Bragg, NC 28310 2011-08-02
1184170961 Leisa Mcginty Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-08-31
1114473998 Christa Fontaine Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-08-31
1255887162 Melissa Hughes Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-08-31
1215380282 Pamela Holsten Dental Hygienist 2817 Reilly St, Fort Bragg, NC 28310-7324 2016-07-14
Find all providers in FORT BRAGG

Competitor

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City FORT BRAGG
Zip Code 95437

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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