George K Camp III, DDS
Individual provider Active NPI Dentist · Lancaster, SC
NPI 1316062011 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1316062011
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 3654 (SC)
- Practice address
- 1025 W Meeting St
Ste 100
Lancaster, SC 29720-2204 - Phone
- (803) 285-9956
- Fax
- (803) 286-8776
- NPI assigned
- Mar 20, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3654 | SC | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3654 | SC | Yes |
Addresses
Primary practice location
1025 W Meeting St
Ste 100
Lancaster, SC 29720-2204
Mailing address
1025 W Meeting St
Ste 100
Lancaster, SC 29720-2204
Phone (803) 285-9956
Other providers in Lancaster, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.