Camp Creek Smiles

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

121923LGB Issued in GA

Legal business name

CAMP CREEK SMILES

Practice address

3890 Redwine Rd SW
Suite 108
Atlanta, GA 30331-5509

Phone

(404) 344-7645

Fax

(404) 574-6725

NPI assigned

Oct 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ericka Edmonds, DDSNPI 1952360265

Title

Dentist

Phone

(404) 344-7645

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ericka M Edmonds, DDS

  • General Practice Dentistry
  • Atlanta, GA
  • NPI 1952360265
  NPD (past) Authorized official

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922195155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-344-7645",
            "fax_number": "404-574-6725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3890 REDWINE RD SW",
            "address_2": "SUITE 108",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303315509",
            "telephone_number": "404-344-7645",
            "fax_number": "404-574-6725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMP CREEK SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDMONDS",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "404-344-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "121923LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Hortman Camilo, DPT
• Camp Creek LLC
• Camp Creek Pediatrics LLC
• Camp Creek Pharmacy LLC
• Camp Creek Primary Care, PC
• Camp Creek Smiles Family Dentistry
• Camp Creek Urgent Care LLC
• Camp Creek Village Pharmacy Inc.
• Camp Creek Women'S Health Center
• Camp Creek Women'S Health Center, LLC

• General Practice Dentistry in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.