Camp Smile Orthodontics Plymouth PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

CAMP SMILE ORTHODONTICS PLYMOUTH PLLC

Practice address

2805 Campus Dr Ste 245
Plymouth, MN 55441-2678

Phone

(763) 383-1788

NPI assigned

Jan 28, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Bobbi L Augustyn, DDS

Title

Owner

Phone

(763) 383-1788

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611792000000",
    "number": "1194316646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR STE 245",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412678",
            "telephone_number": "763-383-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 CAMPUS DR STE 245",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554412678",
            "telephone_number": "763-383-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP SMILE ORTHODONTICS PLYMOUTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "AUGUSTYN",
        "authorized_official_first_name": "BOBBI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "763-383-1788",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniele Ann Calcagno, MA, LPCC
• Dylan Samual Caliva, DPT, PT
• Christopher M Callahan, M.D.
• John A Cambest, CRNA
• Camden Physicians LTD.
• James Paul Campbell, MD
• Olga Campbell
• Canny, LLC
• Cardiology Prevention, LLC
• Caretaker Health Inc

• Dental Clinic/Center in Plymouth, MN
• Providers in Plymouth, MN by specialty
• Dental Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; 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.