DR. BRUCE KEVIN CAMPBELL (NPI# 1487624805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487624805 |
| Entity Type | Individual |
| Full Name | DR. BRUCE KEVIN CAMPBELL |
| Credential | DDS |
| Practice Address |
Las Pulgas Dental Clinic Area 43 Bldg434057 First Denco/naval Dental Clinic Camp Pendelton Camp Pendelton CA 92055 |
| Mailing Address |
16425 Bernardo Oaks Dr San Diego CA 92128-2842 |
| Practice Telephone | 7607254950 |
| Practice Fax Number | 7607253982 |
| Mailing Telephone | 8586735305 |
| Mailing Fax Number | 8586735368 |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | D10198 | MN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | DENTIST LICENSE NUMBER | D10198 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275787046 | Bruce D Campbell | Pharmacist | 1330 Jerome Ave, Bronx, NY 10452-3316 | 2008-11-06 |
| 1194849257 | Bruce Fielding Campbell | Chiropractor | 7770 Michigan Rd, Suite E, Indianapolis, IN 46268-2375 | 2007-03-16 |
| 1245370519 | Bruce Alexander Campbell | Social Worker | 201 West 92nd Street, Suite 5k, New York, NY 10025 | 2007-02-07 |
| 1700922457 | Bruce Campbell Jr. | Family Medicine | 4303 Free Union Road, Free Union, VA 22940 | 2007-01-29 |
| 1437109105 | Bruce H Campbell | Anesthesiology | 2336 Canyon Blvd, Suite 100, Boulder, CO 80302-5618 | 2006-05-11 |
| 1649250861 | Bruce Thomas Campbell | Dentist | 2503 Eastbluff Dr Ste 104, Newport Beach, CA 92660-3549 | 2006-01-23 |
| 1265045215 | Bruce Leslie Campbell | Pharmacist | 455 E Epler Ave, Indianapolis, IN 46227-1902 | 2020-08-28 |
| 1942868203 | Bruce Campbell | Counselor | 401 Market St, Steubenville, OH 43952-2881 | 2019-06-03 |
| 1235360330 | Bruce A Campbell | Counselor | 253-255 Hammond St., Bangor, ME 04401 | 2009-08-06 |
| 1588727374 | Bruce S Campbell | Marriage & Family Therapist | 9815 Carroll Canyon Rd, Suite 100, San Diego, CA 92131-1123 | 2006-12-19 |
| Street Address |
LAS PULGAS DENTAL CLINIC AREA 43 BLDG434057 FIRST DENCO/NAVAL DENTAL CLINIC CAMP PENDELTON |
| City | CAMP PENDELTON |
| State | CA |
| Zip Code | 92055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730755 | Zaccary Griffin | Military Health Care Provider | Building 4101 Stuart Mesa Rd, Camp Pendleton, CA 92055 | 2020-11-02 |
| 1194325597 | Connie Lim Good | Dental Hygienist | 14th Street Bldg 13128, Oceanside, CA 92055 | 2020-10-27 |
| 1386243327 | Leticia Isabel Alcantar | Dental Hygienist | Bldg 520448, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1235737164 | Tynesha Felice Calimquim | Dental Hygienist | Naval Hospital Camp Pendleton, Dental Department, 200 Mercy Circle, Oceanside, CA 92055 | 2020-10-13 |
| 1801494182 | Luis Alberto Necoechea | Military Health Care Provider | 1st Recon Bn Bas, Oceanside, CA 92055 | 2020-10-09 |
| 1689271603 | Lorena Santodomingo | Dental Hygienist | Bldg 210735 C Street, Camp Pendleton, CA 92055 | 2020-10-02 |
| 1720695984 | Douglas Thomas Duncan | Dental Assistant | 92055- 14th Strret, Oceanside, CA 92055 | 2020-09-30 |
| 1528675980 | Dora Louise Young | Dental Assistant | 92055 14th Street, Camp Pendleton, CA 92055 | 2020-09-29 |
| 1306453956 | Lynne Marie Reardon | Dental Hygienist | Bldg 310515, Camp Pendleton, CA 92055 | 2020-09-28 |
| Find all providers in zip 92055 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306447057 | Sienna Palmer Ogbevoen Dds, Inc. | Dentist | 27871 Medical Center Rd Ste 290, Mission Viejo, CA 92691-6440 | 2020-11-07 |
| 1821699737 | William Bill Ngo | Dentist | 1591 Griffin Road Mcagcc, Twentynine Palms, CA 92277 | 2020-11-06 |
| 1134720022 | Iee Shin | Dentist | 30406 Haun Rd Ste 740, Menifee, CA 92584-6816 | 2020-11-05 |
| 1568063634 | Western Dental Services, Inc. | Dentist | 2537 S Euclid Ave Ste A, Ontario, CA 91762-6620 | 2020-11-05 |
| 1467053660 | Gurjot Sidhu Dds Dental Corporation | Dentist | 2701 E Hammer Ln Ste 101, Stockton, CA 95210-4245 | 2020-11-04 |
| 1821699133 | Ayesha Ahmad | Dentist | 4910 Chapparal Way, Banning, CA 92220-3353 | 2020-11-03 |
| 1407457856 | Yiyang Zou | Dentist | 333 W El Camino Real Ste 260, Sunnyvale, CA 94087-8127 | 2020-11-03 |
| 1851992481 | Centinela Joseph Dental Group | Dentist | 6907 La Tijera Blvd, Los Angeles, CA 90045-1906 | 2020-11-02 |
| 1518568138 | Raime Shah | Dentist | 707 Parnassus Ave Ste D-3000, San Francisco, CA 94143-2210 | 2020-11-02 |
| 1558961359 | Tony Tataro | Dentist | 5700 Village Oaks Dr Apt 1222, San Jose, CA 95123-3771 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | CAMP PENDELTON |
| Zip Code | 92055 |
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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.