Gregory G Kamp, DDS

Individual provider Active NPI General Practice Dentistry · Cumberland, IN

NPI 1902817331 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1902817331
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
7354 (IN)
Practice address
11903 E Welland St
Suite a
Cumberland, IN 46229-3979
Phone
(317) 894-4298
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
7354INMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7354 IN Yes

Addresses

Primary practice location

11903 E Welland St
Suite a
Cumberland, IN 46229-3979

Mailing address

11903 E Welland St
Suite a
Cumberland, IN 46229-3979
Phone (317) 894-4298

Other providers in Cumberland, IN

All providers in Cumberland, IN · General Practice Dentistry in Indiana

Sources for this page

Verify at the official NPI Registry.