Provider Demographics
NPI:1558234963
Name:BDHL1, PLLC
Entity type:Organization
Organization Name:BDHL1, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMPUS
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:850-790-4754
Mailing Address - Street 1:6105 N DAVIS HWY
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6949
Mailing Address - Country:US
Mailing Address - Phone:850-790-4754
Mailing Address - Fax:570-508-9018
Practice Address - Street 1:6105 N DAVIS HWY
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6949
Practice Address - Country:US
Practice Address - Phone:850-790-4754
Practice Address - Fax:570-508-9018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty