Organization Active NPI

Gregory Alexander Camp, DMD and Susana Carolina Junco, DMD, PLLC

Doing business as Charlotte Progressive Dentistry

  • General Practice Dentistry
  • Charlotte, NC
National Provider Identifier
1194099960
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8592 Issued in NC
Legal business name
GREGORY ALEXANDER CAMP, DMD AND SUSANA CAROLINA JUNCO, DMD, PLLC
Doing business as
Charlotte Progressive Dentistry
Practice address
7615 Colony Road
Suite 205
Charlotte, NC 28226
Phone
(704) 542-7552
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Dr. Gregory Camp, DMD
Title
Owner
Phone
(704) 542-7552

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 8592 NC Primary

Addresses

Primary practice location

7615 Colony Road
Suite 205
Charlotte, NC 28226

Mailing address

7615 Colony Road
Suite 205
Charlotte, NC 28226
Phone (704) 542-7552

Other names 1

  • Charlotte Progressive Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

7615 Colony Rd
Ste 205
Charlotte, NC 28226
Phone (704) 542-7552

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1194099960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7615 COLONY ROAD",
            "address_2": "SUITE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-542-7552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7615 COLONY ROAD",
            "address_2": "SUITE 205",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28226",
            "telephone_number": "704-542-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY ALEXANDER CAMP, DMD AND SUSANA CAROLINA JUNCO, DMD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "CAMP",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-542-7552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charlotte Progressive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; 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.