Individual provider Active NPI

Conor Campbell, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Wilmington, DE
National Provider Identifier
1093334443
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
G1-0011568 Issued in DE
Practice address
3512 Silverside Rd Ste 12
Wilmington, DE 19810-4913
Phone
(845) 649-8717
NPI assigned
Apr 15, 2020
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X G1-0011568 DE Primary

Addresses

Primary practice location

3512 Silverside Rd Ste 12
Wilmington, DE 19810-4913

Mailing address

3512 Silverside Rd Ste 12
Wilmington, DE 19810-4913
Phone (302) 477-1800

Other practice location 1

601 Williamsburg Dr
Broomall, PA 19008-3428
Phone (610) 353-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
G1-0011568DEMDOral and Maxillofacial Surgery (Dentist)

Practice roles

OrganizationSpecialtyStatusNew patients
Rafetto & Campbell Oral and Facial Surgery of Delaware CurrentSince Aug 18, 2024 Accepting new patients
Williamsburg Dental of Pennsylvania, P.C. PastSince Jan 12, 2025 Accepting new patients
Williamsburg Dental, P.C. Past Accepting new patients

Locations

3512 Silverside Rd
Ste 12
Wilmington, DE 19810
Phone (302) 477-1800

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1093334443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3512 SILVERSIDE RD STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104913",
            "telephone_number": "302-477-1800",
            "fax_number": "302-477-0343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3512 SILVERSIDE RD STE 12",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198104913",
            "telephone_number": "845-649-8717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Williamsburg Dr",
            "address_purpose": "LOCATION",
            "city": "Broomall",
            "state": "PA",
            "postal_code": "190083428",
            "country_code": "US",
            "telephone_number": "610-353-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "CONOR",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "DE",
            "license": "G1-0011568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.