Active NPI
Camp County Dental PLLC
- Dentist
- Pittsburg, TX
National Provider Identifier
1669968889
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 30717
- Legal business name
- CAMP COUNTY DENTAL PLLC
- Practice address
- 113 M L King Jr Ave
Pittsburg, TX 75686 - Phone
- (903) 856-3343
- NPI assigned
- Jul 11, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Afunrhe E Oghre-Ikanone, DDS
- Title
- Dentist
- Phone
- (314) 600-2775
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 30717 | TX | Primary |
Addresses
Primary practice location
113 M L King Jr Ave
Pittsburg, TX 75686
Mailing address
113 M L King Jr Ave
Pittsburg, TX 75686
Phone (903) 856-3343
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1531267200000",
"number": "1669968889",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 M L KING JR AVE",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "75686",
"telephone_number": "903-856-3343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 M L KING JR AVE",
"city": "PITTSBURG",
"state": "TX",
"postal_code": "75686",
"telephone_number": "903-856-3343"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMP COUNTY DENTAL PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-11",
"last_updated": "2018-07-11",
"status": "A",
"authorized_official_last_name": "OGHRE-IKANONE",
"authorized_official_first_name": "AFUNRHE",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "DENTIST",
"authorized_official_telephone_number": "314-600-2775",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "TX",
"license": "30717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.