Provider Demographics
NPI:1285769356
Name:CAMPAGNI, WAYNE VINCENT (DMD)
Entity type:Individual
Prefix:
First Name:WAYNE
Middle Name:VINCENT
Last Name:CAMPAGNI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4166 MAYSTAR WAY
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-3011
Mailing Address - Country:US
Mailing Address - Phone:614-219-2088
Mailing Address - Fax:614-764-9184
Practice Address - Street 1:5155 BRADENTON AVE
Practice Address - Street 2:STE #110
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7558
Practice Address - Country:US
Practice Address - Phone:614-798-0083
Practice Address - Fax:614-764-9184
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH178821223P0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0700XDental ProvidersDentistProsthodontics