NPI 1003079500

Aaron Glenn Campbell, DDS

Practitioner Periodontics Saint Louis, MO

Practice location

Address: 77 W Port Plz STE 367, Saint Louis, MO 63146-3124
Phone: (314) 434-4676
Fax: (314) 434-6806

Registered specialties (2)

Periodontics Primary

Dental Providers Taxonomy 1223P0300X Licence 2008015942 (MO)

Other Dentist providers in Missouri →

Dentist

Dental Providers Taxonomy 122300000X Licence 2008015942 (MO)

Registry record

NPI: 1003079500
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Jul 2008
Record last updated: 30 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.