DR. JASON RYAN CAMPBELL (NPI# 1639257306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639257306 |
| Entity Type | Individual |
| Full Name | DR. JASON RYAN CAMPBELL |
| Credential | D.D.S. |
| Practice Address |
67 Lafayette St Norwich CT 06360 |
| Mailing Address |
270 Mcdonald Rd Colchester CT 06415 |
| Practice Telephone | 8608895213 |
| Mailing Telephone | 7349451558 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
009713 | CT | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
18583 | MI | Dental Providers |
| 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 |
| 1568501237 | Jason Michael Campbell | Dentist | 2255 N University Pkwy, Suite 39, Provo, UT 84604-1588 | 2007-02-06 |
| 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 |
| Street Address |
67 LAFAYETTE ST |
| City | NORWICH |
| State | CT |
| Zip Code | 06360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548343858 | David S Richardson | Dentist | 67 Lafayette St, Norwich, CT 06360-3407 | 2006-10-23 |
| 1093844920 | Christopher M West | Dentist | 67 Lafayette St, Norwich, CT 06360-3407 | 2007-03-05 |
| 1699811075 | Lafayette Dental Group, PC | Dentist | 67 Lafayette St, Norwich, CT 06360-3407 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417452 | Mafe Duyan Rato | Nurse Practitioner | 624 W West Main St, St 140, Norwich, CT 06360 | 2020-11-03 |
| 1255961561 | Holly M. Renstrom | Driver | 17 Annadell Rd, Norwich, CT 06360 | 2020-01-26 |
| 1609335397 | Chanel Justice | Social Worker | 2 Clinic Drive, Outpatient Clinic for Children, Norwich, CT 06360 | 2019-03-13 |
| 1457700189 | Michelle Pressler | Pharmacist | 634 West Main St, Norwich, CT 06360 | 2016-06-03 |
| 1265895726 | Katie Johnson | Social Worker | 18 Oneco Street, Norwich, CT 06360 | 2016-04-01 |
| 1871956623 | Lori Deslandes-paz | Pharmacist | 372 West Main Street, Norwich, CT 06360 | 2016-03-30 |
| 1336526193 | Keep An Open Mind, LLC | Marriage & Family Therapist | 12 Cass Street, Suite 202, Norwich, DC 06360 | 2015-04-30 |
| 1588084446 | Kinneri Kothari | Ophthalmology | 79 Wawecus St Ste 105, Norwich, CT 06360 | 2014-04-18 |
| 1962746537 | Robin B Smith | Social Worker | 401 W. Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-20 |
| 1063766400 | Colleen Ellen Phillips-white | Social Worker | 401 West Thames St, Bldg 301, Southeastern Mental Health Authority, Norwich, CT 06360 | 2012-11-07 |
| Find all providers in zip 06360 | ||||
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518593896 | Archer Dental Plc | Dentist | 303 Us Route 5 South, Norwich, VT 05055 | 2020-03-18 |
| 1124220173 | David Roger Adams | Dentist | 11 Birdsall St, Norwich, NY 13815-1812 | 2007-06-01 |
| 1528270394 | Richard L. Jorgensen | Dentist | The Eaton Center, 24 Conkey Avenue, Suite 300, Norwich, NY 13815 | 2007-05-04 |
| 1497970081 | James C Gold | Dentist | 3 Waterman Hill Rd, Norwich, VT 05055-9686 | 2007-04-17 |
| 1356408355 | Sami A Yousuf | Dentist | 117 Lafayette St, Norwich, CT 06360-2708 | 2007-01-02 |
| 1972687952 | Linda R Kronick | Dentist | 77 Salem Turnpike, Suite 112, Norwich, CT 06339 | 2006-10-25 |
| 1548343858 | David S Richardson | Dentist | 67 Lafayette St, Norwich, CT 06360-3407 | 2006-10-23 |
| 1902917370 | Matthew D Amaro | Dentist | 17 Lafayette St, Norwich, CT 06360-3407 | 2006-08-31 |
| 1336152941 | Toby P Kravitz | Dentist | 303 Us Route 5 S, Suite 4, Norwich, VT 05055-9508 | 2006-08-14 |
| 1962417402 | Progressive Dental of Norwich, Pllc | Dentist | 101 S Broad St, Norwich, NY 13815-1742 | 2006-07-31 |
| Find all providers in NORWICH | ||||
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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.