AARON GLENN CAMPBELL DDS NPI 1003079500

NPI Information

  • NPI: 1003079500
  • Provider Name: AARON GLENN CAMPBELL, DDS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 77 W PORT PLZ STE 367
    SAINT LOUIS, MO
    ZIP 63146
  • Phone: (314) 434-4676

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NPI Details

Aaron Glenn Campbell, DDS is a periodontics dentist in Saint Louis, MO. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. Aaron Glenn Campbell, DDS NPI is 1003079500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

77 W PORT PLZ STE 367
SAINT LOUIS, MO
ZIP 63146-124
Phone: (314) 434-4676
Fax: (314) 434-6806

The NPI 1003079500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/3/2008 and was last updated on 6/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist2008015942MISSOURINo
21223P0300XDentistPeriodontics2008015942MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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