Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1568501237 Deactivated / Inactive NPI Male Practitioner

Dr. Jason Michael Campbell , DDS

Dentist • Provo, UT

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jason Campbell has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 06, 2007
NPI Deactivation Date May 03, 2023
Total Practice Duration ~16 Years of Practice (2007 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. Jason Campbell, DDS was a registered Dentist practicing in Provo, UT. Throughout an active medical career spanning 16 years, Dr. Campbell provided care at the practice location at 2255 N UNIVERSITY PKWY until profile deactivation on 2023-05-03.

Practice Location & Contact Primary Location

Practice Address

2255 N University Pkwy
Suite 39

Provo, UT 846041588

Telephone 7062071102
Associated Practice Facility / Clinic
🏢 Blaine F. Bird, O.d., P.c. Facility NPI 1083817944

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.0 Yrs
Regional Practice Density
28 Specialists

Practicing in Provo, UT (758 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 Primary Specialty

NUCC Taxonomy Code: 122300000X

State License UT 8767318-9923

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.

Practice Associates & Co-Workers

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

2 Associated Practitioners
NPI 1417510645
NPI 1427658046

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

8 Historical Events
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NPI Profile Deactivated May 03, 2023

Record deactivated on May 03, 2023

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 18, 2023

Dentist (License #DN012764 in GA)

NPI Profile Active April 03, 2015

NPI status registered as active in NPPES database

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Updated Practice Location April 03, 2015

Registered at 2255 N UNIVERSITY PKWY, SUITE 39, PROVO, UT 846041588 (Tel: 7062071102)

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Updated Business Mailing Address April 03, 2015

Registered at 2255 N UNIVERSITY PKWY, SUITE 39, PROVO, UT 846041588 (Tel: 7062071102)

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Provider Name / Credentials Updated April 03, 2015

Recorded as JASON CAMPBELL, D.D.S.

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2015

Dentist (License #8767318-9923 in UT)

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Initial NPI Registration & Enumeration February 06, 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: 1568501237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 06, 2007
Last Update: April 03, 2015
Deactivation Date: May 03, 2023

Mailing Address

2255 N University Pkwy, Suite 39

Provo, UT 846041588

Phone: 7062071102

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.