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Jerold Campbell
Pediatric Dentist in Oxford, Mississippi
NPI 1831694629

Jerold Campbell is a Pediatric Dentist based in Oxford, MS and is specialized in Pediatric Dentistry. Jerold Campbell practices in Oxford, MS. The NPI Number for Jerold Campbell is 1831694629 and holds a License No. (Mississippi).

The current practice location address for Jerold Campbell is 106 Merchants Drive, Oxford, MS and can be reached out via phone at 901-870-5529.

Location: 106 Merchants Drive, Oxford, MS, 38655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831694629
Provider Name
Jerold Campbell
Credential
Provider Entity Type
Individual
Gender
Male
Address
106 Merchants Drive, Oxford, MS, 38655
Phone Number
901-870-5529
Fax Number
Provider Enumeration Date
03/26/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
106 Merchants Drive
City
Oxford
State
Mississippi
Zip
38655
Phone Number
901-870-5529
Fax Number
person
Provider Business Mailing Address Details
Address
106 Merchants Drive
City
Oxford
State
Mississippi
Zip
38655
Phone Number
901-870-5529
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4120-20 (Mississippi)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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