DR. BRUCE DOUGLAS CAMPBELL (NPI# 1598824583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598824583 |
| Entity Type | Individual |
| Full Name | DR. BRUCE DOUGLAS CAMPBELL |
| Credential | DDS |
| Practice Address |
8650 Hudson Blvd N Suite 105 Lake Elmo MN 55042-9747 |
| Mailing Address |
8228 Marsh Creek Rd Woodbury MN 55125-3037 |
| Practice Telephone | 6516361818 |
| Practice Fax Number | 6516361118 |
| Mailing Telephone | 6517020501 |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
D11317 | MN | Dental Providers |
| 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 |
| 1487624805 | Bruce Kevin Campbell | Dentist | Las Pulgas Dental Clinic Area 43 Bldg434057, First Denco/naval Dental Clinic Camp Pendelton, Camp Pendelton, CA 92055 | 2006-01-26 |
| 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 |
| Street Address |
8650 HUDSON BLVD N SUITE 105 |
| City | LAKE ELMO |
| State | MN |
| Zip Code | 55042-9747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902805278 | East Metro Asc LLC | Clinic/Center | 8650 Hudson Blvd N, Lake Elmo, MN 55042-8448 | 2005-07-19 |
| 1396120473 | Pdg, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 105, Lake Elmo, MN 55042 | 2015-07-30 |
| 1932587383 | Infinite Health Collaborative, Pa | Durable Medical Equipment & Medical Supplies | 8650 Hudson Blvd N, Suite 100, Lake Elmo, MN 55042-9747 | 2015-05-18 |
| 1003212176 | Michelle Cunningham | Nurse Anesthetist, Certified Registered | 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042-9747 | 2014-11-17 |
| 1558648337 | St. Croix Orthopaedics, P.a. | Durable Medical Equipment & Medical Supplies | 8650 Hudson Blvd N, Ste. 100, Lake Elmo, MN 55042-9747 | 2011-11-08 |
| 1497072680 | Patricia Akers | Nurse Anesthetist, Certified Registered | 8650 Hudson Blvd N, Suite 235, Lake Elmo, MN 55042-9747 | 2010-04-27 |
| 1457593550 | Pediatric and Young Adult Medicine, Pa | Clinic/Center | 8650 Hudson Blvd N, Suite 125, Lake Elmo, MN 55042-9747 | 2009-04-03 |
| 1326178948 | Lakeview Hospital Inc. | Pharmacy | 8650 Hudson Blvd N, Suite 100, Lake Elmo, MN 55042-9747 | 2007-03-06 |
| 1982763454 | Alfredo Montes Imeri | Dentist | 8650 Hudson Blvd N, #105, Lake Elmo, MN 55042-9747 | 2006-12-08 |
| 1407915432 | John Clayton Withrow | Dentist | 8650 Hudson Blvd N, Suite105, Lake Elmo, MN 55042-9747 | 2006-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811440738 | Eleni Voltidi | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2016-07-27 |
| 1760781314 | Swedehill Lifecare, LLC | Home Health | 8951 Highway 5, Lake Elmo, MN 55042 | 2011-03-22 |
| 1295859676 | St Croix Valley Dental Pllc | Dentist | 10035 City Walk Dr, Ste A Lake Elmo Dental, Lake Elmo, MN 55042 | 2007-03-19 |
| 1245281823 | Kent Gregory Brockmann | Psychiatry & Neurology | 8673 Eagle Point Blvd, Lake Elmo, MN 55042 | 2006-05-16 |
| 1396722674 | Nancy L Johnson-rauen | Physical Therapist | 9242 Hudson Blvd N Ste 400, Lake Elmo, MN 55042 | 2005-12-28 |
| 1639655384 | Katlyn Arndt | Psychiatry & Neurology | 8515 Eagle Point Blvd, Lake Elmo, MN 55042 | 2018-07-16 |
| 1295227247 | Orthodontic Specialists of Minnesota, P.l.l.c. | Dentist | 8650 Hudson Blvd N Ste 105, Lake Elmo, MN 55042 | 2018-06-05 |
| 1124455324 | Leslie Markowitz | Psychologist | 8550 Hudson Blvd N, Lake Elmo, MN 55042 | 2013-10-02 |
| 1215295001 | Jessica R Baltz | Marriage & Family Therapist | 3819 Laverne Ave N, Lake Elmo, MN 55042 | 2012-04-30 |
| 1790053460 | Jennifer Jean Solin | Psychologist | 8550 Hudson Blvd N, Lake Elmo, MN 55042 | 2011-12-08 |
| Find all providers in zip 55042 | ||||
| Taxonomy Code | 1223S0112X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Oral and Maxillofacial Surgery |
| The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982213237 | Yue Hu | Dentist | 515 Delaware St. Se Malcolm Moos Health Sciences Tower, Room 7-174, Minneapolis, MN 55455 | 2020-07-23 |
| 1285294611 | Brian Michael Laing | Dentist | 7-147 Moos Health Science Tower, 515 Delaware Street S.e., Minneapolis, MN 55455-0357 | 2019-06-18 |
| 1295218303 | Advanced Oral Surgery | Dentist | 19925 Idealic Ave, Lakeville, MN 55044-2003 | 2018-09-13 |
| 1205366002 | Derek Miller | Dentist | 7-174 Moos Tower 515 Delaware St. S, U of M Oral Surgery, Minneapolis, MN 55455 | 2017-06-14 |
| 1497113674 | West Lakes Dentistry, Pa | Dentist | 5205 Shoreline Dr, Mound, MN 55364-1770 | 2016-02-03 |
| 1003203498 | Tyler John Varhol | Dentist | 550 County Road D W Ste 12, New Brighton, MN 55112-3517 | 2015-04-23 |
| 1225458391 | Levi Zarbano | Dentist | 2550 University Ave W Ste 115n, Saint Paul, MN 55114-1097 | 2014-04-16 |
| 1154760932 | John Salek-raham | Dentist | 700 Village Center Dr., Ste 170, North Oaks, MN 55127-3025 | 2013-06-14 |
| 1649511585 | Kristopher Lee Hasstedt | Dentist | Dentists of Woodbury, 7150 Valley Creek Plaza Ste #230, Woodbury, MN 55125 | 2013-03-01 |
| 1396095048 | Dental Specialists of Minnesota, Pllc | Dentist | 3360 Northdale Blvd., Coon Rapids, MN 55448-1825 | 2012-09-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. BRUCE DOUGLAS CAMPBELL.
| 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.