Provider Demographics
NPI:1265423842
Name:DR. CAMPS PEDIATRIC DENTAL CENTER
Entity type:Organization
Organization Name:DR. CAMPS PEDIATRIC DENTAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:D
Authorized Official - Last Name:CAMPS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:301-989-8994
Mailing Address - Street 1:12520 PROSPERITY DR STE 300
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-1664
Mailing Address - Country:US
Mailing Address - Phone:301-989-8994
Mailing Address - Fax:301-989-2434
Practice Address - Street 1:12520 PROSPERITY DR STE 300
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-1664
Practice Address - Country:US
Practice Address - Phone:301-989-8994
Practice Address - Fax:301-989-2434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-02
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty