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Active NPI 1659594497 Individual Practitioner Female Practitioner

Dr. Lisa Michele Campbell , DDS

Dentist - General Practice • Avon Park, FL

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Campbell, DDS is a registered healthcare professional specializing in Dentist - General Practice in Avon Park, FL. Practice services are available at 950 COUNTY ROAD 17A W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

950 County Road 17a W

Avon Park, FL 338252164

Telephone 8634523000
Fax 8634523069
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Avon Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
9 Specialists

Practicing in Avon Park, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL DN 19206

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License TX 21248

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.

Dentist

NUCC Taxonomy Code: 122300000X

State License OH 19960

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
003001500 (FL)
Commercial Insurance / Payer ID Provider Identification #
7285021 (OH)
Commercial Insurance / Payer ID Florida License
DN 19206 (FL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

8 Associated Practitioners
Dr. Stephen Young , DDS

Dentist - General Practice

NPI 1306974837

Doctor of Dental Surgery

Dr. Michelle Modaff , DDS

Dentist - General Practice

NPI 1497768295

Doctor of Dental Surgery

Dr. Denise Gomara , DMD

Dentist - General Practice

NPI 1497887863

Doctor of Dental Medicine

NPI 1568457422

Doctor of Medicine (M.D.)

Dr. Kimber Vasquez , MD

General Practice

NPI 1689803330

Doctor of Medicine (M.D.)

Jacinta Gaitor

Dentist - General Practice

NPI 1871785469

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 07, 2023

Dentist (License #21248 in TX)

NPI Profile Active July 27, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location July 27, 2012

Registered at 950 COUNTY ROAD 17A W, AVON PARK, FL 338252164 (Tel: 8634523000)

📍
Updated Business Mailing Address July 27, 2012

Registered at 950 COUNTY ROAD 17A W, AVON PARK, FL 338252164 (Tel: 8634523000)

👤
Provider Name / Credentials Updated July 27, 2012

Recorded as LISA CAMPBELL, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 27, 2012

Dentist (License #19960 in OH)

🟢
Initial NPI Registration & Enumeration April 10, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1659594497
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 10, 2007
Last Update: March 07, 2023
Sole Proprietor: No

Mailing Address

950 County Road 17a W

Avon Park, FL 338252164

Phone: 8634523000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.