DR. JASON MICHAEL CAMPBELL (NPI# 1568501237) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568501237 |
| Entity Type | Individual |
| Full Name | DR. JASON MICHAEL CAMPBELL |
| Credential | D.D.S. |
| Practice Address |
2255 N University Pkwy Suite 39 Provo UT 84604-1588 |
| Practice Telephone | 7062071102 |
| Mailing Telephone | 7062071102 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2015-04-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8767318-8903 | UT | Dental Providers |
| Y | 122300000X | Dentist | 8767318-9923 | UT | Dental Providers |
| N | 122300000X | Dentist | 8767318-9921 | UT | Dental Providers |
| N | 122300000X | Dentist | DN012764 | GA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 140395218D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073963872 | Jason Robert Campbell | Counselor | 1750 Nebraska Ave # B, Grants Pass, OR 97527-5700 | 2016-06-13 |
| 1073913323 | Jason Campbell | Home Health | 17422 E Caley Ln, Aurora, CO 80016-3188 | 2014-08-23 |
| 1467678987 | Jason Stuart Campbell | Family Medicine | 2005 State St Ste A, Suite A, Washington, IN 47501-8559 | 2007-04-17 |
| 1366577017 | Jason Travis Campbell | Chiropractor | 3000 W 10th St, Greeley, CO 80634-5335 | 2007-02-22 |
| 1093865453 | Jason Patrick Campbell | Durable Medical Equipment & Medical Supplies | 2625 Circle Rd, Lynchburg, VA 24501-2409 | 2007-01-10 |
| 1407874662 | Jason Clay Campbell | Dentist | 139 W. Whipple St., Prescott, AZ 86301-1705 | 2006-07-17 |
| 1477543163 | Jason Campbell | Psychologist | Brooke Army Medical Center, Mche-qd/credenitals, 3851 Roger Brooke Dr, Fort Sam Houston, TX 78234-6200 | 2005-10-25 |
| 1174045298 | Jason Campbell | Student in an Organized Health Care Education/Training Program | 600 N Wolfe St, Baltimore, MD 21287-0005 | 2017-07-11 |
| 1023358934 | Jason Paul Campbell | Physical Therapist | 3512 Highway 365, Nederland, TX 77627-7834 | 2013-03-01 |
| 1760767743 | Jason Campbell | Pharmacist | 116 N Main St, White Hall, IL 62092-1054 | 2011-10-20 |
| Street Address |
2255 N UNIVERSITY PKWY SUITE 39 |
| City | PROVO |
| State | UT |
| Zip Code | 84604-1588 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658046 | Darrell R Bennett | Pharmacy | 2255 N University Pkwy, Provo, UT 84604-1588 | 2020-11-01 |
| 1417510645 | Cynthia Lyn Kerr | Pharmacist | 2255 N University Pkwy, Provo, UT 84604-1588 | 2019-04-14 |
| 1538554878 | Provo Orem Family & Cosmetic Dentistry Pllc | Dentist | 2255 N University Pkwy, Suite 39, Provo, UT 84604-1588 | 2015-04-03 |
| 1447674569 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 2255 N University Pkwy, Provo, UT 84604-1588 | 2014-02-10 |
| 1083817944 | Blaine F. Bird, O.d., P.C. | Eyewear Supplier (Equipment, not the service) | 2255 N University Pkwy, Suite #1, Provo, UT 84604-1588 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346882107 | Abigail Belle Hardy | Student in an Organized Health Care Education/Training Program | 1190 900 E, Provo, UT 84604 | 2019-10-14 |
| 1386106698 | Sarah Roseman Hunt | Nurse Practitioner | 1055 N 500 W., Suite. 101, Bldg. C, Provo, UT 84604 | 2019-04-04 |
| 1255813325 | Hwigeum Jeong | Specialist/Technologist | Department of Exercise Sciences 106 Sfh Brigham Young, Provo, UT 84604 | 2018-09-05 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1407359078 | Ihc Health Services Inc | Clinic/Center | 380 W Bulldog Blvd, Ste 403, Provo, UT 84604 | 2018-03-09 |
| 1902308455 | Afton Leuga | Nurse Practitioner | 395 W Bulldog Blvd., Suite 401, Provo, UT 84604 | 2018-03-01 |
| 1851807333 | Ihc Health Services Inc | Family Medicine | 380 W 1230 N, Ste 602, Provo, UT 84604 | 2017-12-20 |
| 1689180218 | Ihc Health Services Inc | Pediatrics | 395 W Bulldog Blvd Ste 703, Provo, UT 84604 | 2017-12-19 |
| 1396254165 | Nicolas Sorensen | Massage Therapist | 247 West 2230 North #201, Provo, UT 84604 | 2017-09-25 |
| 1437692241 | Cirque Lodge Inc | Substance Abuse Rehabilitation Facility | 3114 E Ida's Road, Sundance, UT 84604 | 2016-11-28 |
| Find all providers in zip 84604 | ||||
| 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 |
|---|---|---|---|---|
| 1811462120 | Dr Quinn Schiffman Dds LLC | Dentist | 1355 N University Ave Ste 320, Provo, UT 84604-2721 | 2018-10-12 |
| 1093203044 | Snowcap Smile Studio LLC | Dentist | 2230 N. University Pkwy Ste 8b, Provo, UT 84604 | 2018-04-25 |
| 1144602970 | Tyra Neal | Dentist | 1450 W 820 N, Provo, UT 84601-1305 | 2015-06-29 |
| 1427437144 | Mountainlands Community Health Center, Inc. | Dentist | 299 E 900 S Ste 101, Provo, UT 84606-6107 | 2015-05-27 |
| 1730586355 | Juan C. Chavez, D.m.d., P.l.l.c | Dentist | 2520 N University Ave Ste 101, Provo, UT 84604-6081 | 2014-11-25 |
| 1174938294 | Michael Aaron Merkley | Dentist | 777 N 500 W # 201, Provo, UT 84601-1541 | 2014-06-26 |
| 1053613497 | Jones Dental | Dentist | 3651 N 100 E Ste 200, Provo, UT 84604-4553 | 2010-11-17 |
| 1083876205 | R. Reed Call | Dentist | 777 N 500 W Ste 202, Provo, UT 84601-1541 | 2008-06-29 |
| 1144422429 | Grandpa's Dental Inc. | Dentist | 777 North 500 West, 201b, Provo, UT 84601-1570 | 2007-05-31 |
| 1386770915 | Dean F Robinson | Dentist | 2476 N University Pky #102, Provo, UT 84604-3801 | 2007-02-26 |
| Find all providers in PROVO | ||||
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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.