Individual
DR. JOHN H CAMPBELL IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
3435 MAIN ST, 119 SQUIRE HALL, BUFFALO, NY 14214
(716) 829-6637
(716) 829-3019
Mailing address
3435 MAIN ST, 119 SQUIRE HALL, BUFFALO, NY 14214-3001
(716) 829-6637
(716) 829-2047
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0360221
NY
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
036022
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01151064
—
NY
Enumeration date
06/13/2006
Last updated
10/15/2020
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