Provider Demographics
NPI:1255151486
Name:CAMP & BENTLEY GENERAL DENTISTRY- FRANKLIN
Entity type:Organization
Organization Name:CAMP & BENTLEY GENERAL DENTISTRY- FRANKLIN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:979-776-1838
Mailing Address - Street 1:174 WOODFOREST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TX
Mailing Address - Zip Code:77856-2402
Mailing Address - Country:US
Mailing Address - Phone:979-574-5375
Mailing Address - Fax:
Practice Address - Street 1:206 N CALVERT ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:TX
Practice Address - Zip Code:77856-5991
Practice Address - Country:US
Practice Address - Phone:979-776-1838
Practice Address - Fax:979-774-2808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-14
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental