Active NPI
Donovan C Campbell, DDS
- Dentist
- MC Connelsville, OH
National Provider Identifier
1295728798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 19352
- Practice address
- 24 W Main St
MC Connelsville, OH 43756-1215 - Phone
- (740) 962-6122
- Fax
- (740) 962-2095
- NPI assigned
- Aug 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 19352 | OH | Primary |
Addresses
Primary practice location
24 W Main St
MC Connelsville, OH 43756-1215
Mailing address
24 W Main St
PO Box 535
MC Connelsville, OH 43756-1215
Phone (740) 962-6122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0807390 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130625000561 | OH | Order and Referring Only - Oral Surgery | 0840439782 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19352 | OH | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1295728798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 W MAIN ST",
"address_2": "PO BOX 535",
"city": "MC CONNELSVILLE",
"state": "OH",
"postal_code": "437561215",
"telephone_number": "740-962-6122",
"fax_number": "740-962-2095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 W MAIN ST",
"city": "MC CONNELSVILLE",
"state": "OH",
"postal_code": "437561215",
"telephone_number": "740-962-6122",
"fax_number": "740-962-2095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMPBELL",
"first_name": "DONOVAN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-30",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "OH",
"license": "19352",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0807390",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in MC Connelsville, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.