Humphrey, Camille

Humphrey, Camille is an individual health care provider with primary practice located at 145 Cranberry St. , Bethel AK 99559-1085. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Humphrey, Camille can be contacted via phone (520) 403-2051.

Contact Information

Primary practice address
145 Cranberry St. Bethel AK 99559-1085
Phone: (520) 403-2051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X 123592 Alaska
Dental Providers / Dentist 122300000X 123592 Alaska

Profile Details

NPI number 1669992715
LBN Legal business name Humphrey, Camille
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669992715 NPPES
Alaska MEDICAID 123592

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