Claude Victor Camden Jr., DDS

Individual provider Active NPI General Practice Dentistry · Wytheville, VA

NPI 1013935295 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1013935295
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
0401005979 (VA)
Practice address
750 W North St
Wytheville, VA 24382-2225
Phone
(276) 228-2991
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0401005979VAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 0401005979 VA Yes

Addresses

Primary practice location

750 W North St
Wytheville, VA 24382-2225

Mailing address

750 W North St
Wytheville, VA 24382-2225
Phone (276) 228-2991

Other providers in Wytheville, VA

All providers in Wytheville, VA · General Practice Dentistry in Virginia

Sources for this page

Verify at the official NPI Registry.