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Deactivated NPI 1538373329 Deactivated / Inactive NPI Male Practitioner

Dr. Gerald Joseph Campo , DDS

Dentist - General Practice • Kirkland, WA

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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. Gerald Campo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 10, 2007
NPI Deactivation Date June 26, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Gerald Campo, DDS was a registered Dentist - General Practice practicing in Kirkland, WA. Throughout an active medical career spanning 18 years, Dr. Campo provided care at the practice location at 13611 100TH AVE NE until profile deactivation on 2025-06-26.

Practice Location & Contact Primary Location

Practice Address

13611 100th Ave Ne

Kirkland, WA 980345234

Telephone 4258213388
Fax 4258253840
Associated Practice Facility / Clinic
🏢 Chelsea D Mortell Dmd Pllc Facility NPI 1609244110

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Kirkland, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 36.0 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
55 Specialists

Practicing in Kirkland, WA (3345 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 WA 5820

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.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated June 26, 2025

Record deactivated on June 26, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 13611 100TH AVE NE, KIRKLAND, WA 980345234 (Tel: 4258213388)

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Updated Business Mailing Address July 08, 2007

Registered at 13611 100TH AVE NE, KIRKLAND, WA 980345234 (Tel: 4258213388)

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Provider Name / Credentials Updated July 08, 2007

Recorded as GERALD CAMPO, DDS

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #5820 in WA)

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Initial NPI Registration & Enumeration May 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: 1538373329
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 10, 2007
Last Update: July 08, 2007
Deactivation Date: June 26, 2025

Mailing Address

13611 100th Ave Ne

Kirkland, WA 980345234

Phone: 4258213388

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.