DR. ALFRED JOHN CAMPBELL (NPI# 1932119633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932119633 |
| Entity Type | Individual |
| Full Name | DR. ALFRED JOHN CAMPBELL |
| Credential | DMD |
| Practice Address |
19317 Route 208 Fryburg PA 16326-0100 |
| Mailing Address |
Po Box 100 19317 Route 208 Fryburg PA 16326-0100 |
| Practice Telephone | 8143547341 |
| Practice Fax Number | 8143547342 |
| Mailing Telephone | 8143547341 |
| Mailing Fax Number | 8143547342 |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DS025743L | PA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629458880 | Alfred Campbell Jr. | Counselor | 20 S John F Kennedy Way, Willingboro, NJ 08046-3879 | 2015-06-03 |
| 1881671873 | Alfred P Campbell | Physician Assistant | 65 Mechanic St, Red Bank, NJ 07701 | 2005-12-29 |
| 1982603015 | Alfred Wray Campbell | Specialist | 101 E Wood St, Spartanburg, SC 29303-3040 | 2005-07-20 |
| Street Address |
19317 ROUTE 208 |
| City | FRYBURG |
| State | PA |
| Zip Code | 16326-0100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962792903 | Kelly Lynn Nicewonger | Pharmacist | 328 Dempseytown Rd, Fryburg, PA 16326-1208 | 2011-04-11 |
| 1073061735 | Tyler Thomas | Specialist/Technologist | 58 Ditz Ln, Fryburg, PA 16326-1210 | 2016-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073061735 | Tyler Thomas | Specialist/Technologist | 58 Ditz Ln, Fryburg, PA 16326-1210 | 2016-09-12 |
| 1962792903 | Kelly Lynn Nicewonger | Pharmacist | 328 Dempseytown Rd, Fryburg, PA 16326-1208 | 2011-04-11 |
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
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| 1376154807 | Katherine Marie Stranieri | Dentist | 127 S Spring Garden St, Ambler, PA 19002-4726 | 2020-08-10 |
| 1407466162 | Christa A Musto | Dentist | 575 Pierce St Ste 201, Kingston, PA 18704-5700 | 2020-08-06 |
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| 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.