National Provider Identifier

John H Campbell IV, DDS, MS

John H Campbell IV, DDS, MS is listed in the NPPES registry with a primary specialty of Oral and Maxillofacial Surgery (Dentist) in Buffalo, NY and a listed phone number of (716) 829-6637.

NPI 1194768630Buffalo, NYOral and Maxillofacial Surgery (Dentist)

Profile Overview

NPI
1194768630
Provider Type
Individual
Primary Specialty
Oral and Maxillofacial Surgery (Dentist)
Enumeration Date
June 13, 2006
Last Updated
October 15, 2020

Practice Location

  • 3435 Main St, 119 Squire Hall
  • Buffalo, NY 14214

Phone: (716) 829-6637

Mailing Address

  • 3435 Main St
  • 119 Squire Hall
  • Buffalo, NY 14214-3001

Specialties

  • Oral and Maxillofacial Surgery (Dentist) (1223S0112X)
  • Oral & Maxillofacial Surgery (D.M.D.) (204E00000X)
Full Record
NPI
1194768630
Entity Type
Individual
Last Name
Campbell
First Name
John
Middle Name
H
Name Prefix
Dr.
Name Suffix
IV
Credential
DDS, MS
Mailing Street Address
3435 Main St
Mailing Address Line 2
119 Squire Hall
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14214-3001
Mailing Country
US
Mailing Phone
(716) 829-6637
Mailing Fax
(716) 829-2047
Practice Street Address
3435 Main St, 119 Squire Hall
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14214
Practice Country
US
Practice Phone
(716) 829-6637
Practice Fax
(716) 829-3019
Enumeration Date
June 13, 2006
Last Updated
October 15, 2020
Sex
Male
Sole Proprietor
No
Certification Date
October 15, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Oral and Maxillofacial Surgery (Dentist) (1223S0112X), Oral & Maxillofacial Surgery (D.M.D.) (204E00000X)
Other Identifiers
01151064 (NY)