Organization
UB ORAL & MAXILLOFACIAL SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H CAMPBELL DDS, MS (PRESIDENT)
(716) 829-6032
Entity
Organization
Contact information
Practice address
3435 MAIN ST, 119 SQUIRE HALL, BUFFALO, NY 14214-1421
(716) 829-6637
(716) 829-2047
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
1223G0001X
General Practice Dentistry
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
06/21/2010
Last updated
10/15/2020
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