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Dr. Casey Mccray Campbell, DDS,MS
Periodontist in Jbsa Lackland, Texas
NPI 1366460693

Casey Mccray Campbell is a Periodontist based in Jbsa Lackland, TX and is specialized in Periodontics. Casey Mccray Campbell practices in Jbsa Lackland, TX and has the professional credentials of DDS,MS. The NPI Number for Casey Mccray Campbell is 1366460693 and holds a License No. (Texas).

The current practice location address for Casey Mccray Campbell is 1100 Wilford Hall Loop, Jbsa Lackland, TX and can be reached out via phone at 210-292-6280.

Location: 1100 Wilford Hall Loop, Jbsa Lackland, TX, 78236-5313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1366460693
Provider Name
Casey Mccray Campbell
Credential
DDS,MS
Provider Entity Type
Individual
Gender
Male
Address
1100 Wilford Hall Loop, Jbsa Lackland, TX, 78236-5313
Phone Number
210-292-6280
Fax Number
Provider Enumeration Date
07/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-6280
Fax Number
person
Provider Business Mailing Address Details
Address
1100 Wilford Hall Loop
City
Jbsa Lackland
State
Texas
Zip
78236-5638
Phone Number
210-292-6280
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Periodontics
Taxonomy
1223P0300X
License No.
21470 (Texas)
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
()
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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