Laneshia Shante Camp, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN014242 Issued in GA

Practice address

315 W Ponce de Leon Ave Ste 200
Decatur, GA 30030-2483

Phone

(404) 381-1840

Fax

(404) 341-9488

NPI assigned

Aug 4, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Dental Specialists of Georgia, PC

  • Pediatric Dentistry
  • Decatur, GA
  • NPI 1346990108
  NPD Authorized official

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1336305960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302483",
            "telephone_number": "404-381-1840",
            "fax_number": "404-341-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302483",
            "telephone_number": "404-381-1840",
            "fax_number": "404-341-9488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Dr",
            "address_2": "Mail Code 7888",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293901",
            "country_code": "US",
            "telephone_number": "210-567-3529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMP",
        "first_name": "LANESHIA",
        "middle_name": "SHANTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TX",
            "license": "25771",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN014242",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DNO14242",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol A. Calvert, LPC
• Jacinto Camarena III, MD
• Tefylon Velvette Cameron, D.C.
• Bernadette Camille
• Camp Psychological LLC.
• Sandra Lorraine Camp, LPC
• Anthony Paul Campanella, PA - C, CAQ-PSYCH
• Donald Jerome Campbell, DDS
• Jillian Logan Campbell, AUD
• Kateri Campbell

• Pediatric Dentistry in Decatur, GA
• Providers in Decatur, GA by specialty
• Pediatric Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2022; 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.