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DR. LISA MICHELE CAMPBELL D.D.S. NPI 1659594497


NPI Information

NPI: 1659594497
Provider Name: DR. LISA MICHELE CAMPBELL, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
950 COUNTY ROAD 17A W
AVON PARK, FL
ZIP 33825
Phone: (863) 452-3000
Get Directions

DR. Lisa Michele Campbell, D.D.S. is a general practice dentist in Avon Park, FL. The provider is 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. DR. Lisa Michele Campbell, D.D.S. NPI is 1659594497. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

950 COUNTY ROAD 17A W
AVON PARK, FL
ZIP 33825-164
Phone: (863) 452-3000
Fax: (863) 452-3069

The NPI 1659594497 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 7/27/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1122300000XDentist21248TEXASNo
2122300000XDentist19960OHIONo
31223G0001XDentistGeneral PracticeDN 19206FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003001500MEDICAIDFLORIDA
2U81203MEDICARE UPINOHIO
37285021OTHEROHIOPROVIDER IDENTIFICATION #
4FC2300678OTHERDEA
5DN 19206OTHERFLORIDAFLORIDA LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.