Dr. John H Campbell IV
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3435 Main St, 119 Squire Hall
Buffalo
, New York 14214
Dr. John H Campbell IV
Oral and Maxillofacial Surgeon Oral & Maxillofacial Surgeon
3435 Main St, 119 Squire Hall
Buffalo
, New York 14214
(716) 829-2047
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About
Features
Specialties
- Oral and Maxillofacial Surgeon
- Oral & Maxillofacial Surgeon
Languages spoken
- English
Location
First Address
- Dr. John H Campbell IV
- 3435 Main St 119 Squire Hall
- Buffalo, NY
- Zip : 14214-3001
- Fax : (716) 829-2047
- Phone : (716) 829-6637
Second Address
- Dr. John H Campbell IV
- 3435 Main St, 119 Squire Hall
- Buffalo, NY
- Zip : 14214
- Fax : (716) 829-3019
- Phone : (716) 829-6637
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223S0112X | Oral and Maxillofacial Surgeon | 0360221 | NY |
| N | 204E00000X | Oral & Maxillofacial Surgeon | 036022 | NY |
National Provider Identifier
| NPI | 1194768630 |
|---|---|
| Provider Name | Dr. John H Campbell IV |
| First Address | Buffalo, NY 14214-3001 |
| Second Address | Buffalo, NY 14214 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2006 |
| Last Update Date | 15/10/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01151064 | (05) | NY |
| U21365 | (02) | NY |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.