Provider Demographics
NPI:1356311070
Name:CAMPEN, FLOYD GREGG (DDS)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:GREGG
Last Name:CAMPEN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 MIDDLE CT
Mailing Address - Street 2:
Mailing Address - City:CAPE CARTERET
Mailing Address - State:NC
Mailing Address - Zip Code:28584-9757
Mailing Address - Country:US
Mailing Address - Phone:252-393-6462
Mailing Address - Fax:
Practice Address - Street 1:8914 REED DR
Practice Address - Street 2:
Practice Address - City:EMERALD ISLE
Practice Address - State:NC
Practice Address - Zip Code:28594-2462
Practice Address - Country:US
Practice Address - Phone:252-354-4688
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC54791223G0001X
VA64611223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1356311070OtherORGANIZATIONAL NPI