Healthcare Provider Details

I. General information

NPI: 1265423842
Provider Name (Legal Business Name): DR. CAMPS PEDIATRIC DENTAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/02/2005
Last Update Date: 12/04/2023
Certification Date: 12/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12520 PROSPERITY DR STE 300
SILVER SPRING MD
20904-1664
US

IV. Provider business mailing address

12520 PROSPERITY DR STE 300
SILVER SPRING MD
20904-1664
US

V. Phone/Fax

Practice location:
  • Phone: 301-989-8994
  • Fax: 301-989-2434
Mailing address:
  • Phone: 301-989-8994
  • Fax: 301-989-2434

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. ROBERT D CAMPS
Title or Position: OWNER
Credential: D.D.S.
Phone: 301-989-8994