| Family Camp Dental | |
|
4202 Avenue Q Lubbock TX 79412-1708 | |
| (806) 507-7777 | |
| (806) 507-3037 |
| Full Name | Family Camp Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4202 Avenue Q, Lubbock, Texas |
| Authorized Official Name and Position | Benjamin Roy Menlove (PRESIDENT) |
| Authorized Official Contact | 8065077777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Camp Dental 4202 Ave Q Lubbock TX 79412-3387 Ph: (806) 507-7777 | Family Camp Dental 4202 Avenue Q Lubbock TX 79412-1708 Ph: (806) 507-7777 |
| NPI Number | 1164178026 |
|---|---|
| Provider Enumeration Date | 03/01/2022 |
| Last Update Date | 08/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164178026 | NPI | - | NPPES |
| 38058 | Other | TX | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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