Lil Dental, P.a.

Primary specialty

DentistTaxonomy code 122300000X

License

DN18259 Issued in FL

Legal business name

LIL DENTAL, P.A.

Doing business as

Sorrento Dental Care

Practice address

12385 Sorrento Rd
Pensacola, FL 32507-8664

Phone

(850) 492-7646

Fax

(850) 458-1601

NPI assigned

May 7, 2015

Last updated

May 7, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christopher Martin Campus, DMDNPI 1548427933

Title

President/ Owner

Phone

(850) 492-7646

Specialties & licenses 1

Addresses

Other names 1

• Sorrento Dental Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christopher Martin Campus, D.M.D.

  • Dentist
  • Pensacola, FL
  • NPI 1548427933
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1114305414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078664",
            "telephone_number": "850-492-7646",
            "fax_number": "850-458-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12385 SORRENTO RD",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325078664",
            "telephone_number": "850-492-7646",
            "fax_number": "850-458-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "CAMPUS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "850-492-7646",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sorrento Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lifeguard International
• Lifeline Pensacola, LLC (Coastal Vascular & Interventional Center)
• Lynn E Lightfoot, PH.D.
• Susan W Lightfoot, MHC
• Lighthouse Health Plan, LLC
• William R Lile, DO
• Rachel Elizabeth Lill
• John S Lilly, RN
• Mary Kathryn Lilly, APRN
• Linh Lim

• Dentist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.