DEIRDER M CAMPBELL NPI 1669642641

NPI Information

  • NPI: 1669642641
  • Provider Name: DEIRDER M CAMPBELL
  • Classification: Dentist - 122300000X
  • Entity Type: Organization
  • Doing Business As: COLONIAL DENTAL GROUP
  • CLIA Number: 10D2011335
  • Address: 4447 CAMINO REAL WAY
    FORT MYERS, FL
    ZIP 33966
  • Phone: (239) 936-7400

Map and Directions

Get Directions

NPI Details

DEIRDER M CAMPBELL is a dentist in Fort Myers, FL. The provider is 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. DEIRDER M CAMPBELL NPI is 1669642641. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Colonial Dental Group.

The provider's business location address is:

4447 CAMINO REAL WAY
FORT MYERS, FL
ZIP 33966-019
Phone: (239) 936-7400
Fax: (239) 936-7696

The provider's authorized official is Deirdre M Campbell .
The authorized official title is Owner and has the following contact phone number (239) 936-7400.

The CLIA number assigned to this NPI record is 10D2011335 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/6/2008 and was last updated on 3/6/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentistDN16533FLORIDAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
162322OTHERFLORIDABC/BS
24131731OTHERFLORIDABC/BS

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: 11/21/2025

NPI Synchronization or Removal

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.

Previous NPI
Next NPI