Dr. Jolmiry Adriana Campos
Dentist in Holbrook, MA. Individual provider (NPI-1).
NPI number1487419925
StatusActive
Last updated in NPPESSep 11, 2024
Details
- NPI
- 1487419925
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jolmiry Adriana Campos
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 14, 2024
- Certification date
- Sep 11, 2024
- Last updated
- Sep 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | DN10000480 | MA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | MA |
Practice location
175 N Franklin StHolbrook, MA 02343-1171
Phone 781-423-1370
Mailing address
89 E Dedham St Apt 317Boston, MA 02118-2658
Phone 617-991-3548
Other practice locations
34 Salem St Unit 102
Medford, MA 02155-3207
Medford, MA 02155-3207
Phone 781-391-2988
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 9 Dentist providers in Holbrook · All 136 providers in Holbrook
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