Menlove Dental, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MENLOVE DENTAL, PLLC

Doing business as

Family Camp Dental

Practice address

4202 Avenue Q
Lubbock, TX 79412-1708

Phone

(806) 507-7777

Fax

(806) 507-3037

NPI assigned

Mar 1, 2022

Last updated

Feb 18, 2025By 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. Benjamin Roy Menlove, DDSNPI 1487710174

Title

President

Phone

(806) 507-7777

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• FAMILY CAMP DENTAL 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.

• Benjamin Menlove, DDS

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1487710174
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739836800000",
    "number": "1164178026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4202 AVE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123387",
            "telephone_number": "806-507-7777",
            "fax_number": "806-507-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 AVENUE Q",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121708",
            "telephone_number": "806-507-7777",
            "fax_number": "806-507-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENLOVE DENTAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "MENLOVE",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "ROY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-507-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "38058",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAMILY CAMP DENTAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Miranda Ivy Mendoza
• Nancy Mendoza
• Reagan Naomi Mendoza
• Chris Alan Menegay, LPC
• McKell Rhylee Meneses
• Benjamin Menlove, DDS
• Theresa Jean Menzel, NP
• Micaela Mercado
• Nestor Felipe Mercado
• Olga T Mercado, LCDCI

• General Practice Dentistry in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.