Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1578618542 Individual Practitioner Male Practitioner

Jack Parker Campbell , DMDP, A

Dentist - Endodontics • Orange Park, FL

Professional Overview & Biography Verified Profile Summary

Jack Campbell, DMDP, A is a registered healthcare professional specializing in Dentist - Endodontics in Orange Park, FL. Practice services are available at 1700 WELLS RD STE 19 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1700 Wells Rd Ste 19

Orange Park, FL 320732374

Telephone 9042649096
Fax 9042644250
Associated Practice Facility / Clinic
🏢 Beachview Dental Pllc Facility NPI 1528618071

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Orange Park, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Orange Park, FL (536 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 - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License FL DN8672

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 07, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location April 07, 2010

Registered at 1700 WELLS RD STE 19, ORANGE PARK, FL 320732374 (Tel: 9042649096)

📍
Updated Business Mailing Address April 07, 2010

Registered at 1700 WELLS RD STE 19, ORANGE PARK, FL 320732374 (Tel: 9042649096)

👤
Provider Name / Credentials Updated April 07, 2010

Recorded as JACK CAMPBELL, D.M.D. P,A,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 07, 2010

Dentist (License #DN8672 in FL)

🟢
Initial NPI Registration & Enumeration January 23, 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: 1578618542
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 23, 2007
Last Update: April 07, 2010
Sole Proprietor: No

Mailing Address

1700 Wells Rd Ste 19

Orange Park, FL 320732374

Phone: 9042649096

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.