Family Camp Dental
LBN: Menlove Dental, Pllc
Family Camp Dental is an health care organization with primary practice located at 4202 Avenue Q , Lubbock TX 79412-1708. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral Medicinist, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty.
Menlove Dental, Pllc can be contacted via phone (806) 507-7777, or through Menlove, Benjamin Roy via phone (806) 507-7777.
Contact Information
Primary practice address
4202 Avenue Q
Lubbock TX 79412-1708
Phone: (806) 507-7777
Fax: (806) 507-3037
Website:
Authorized official contact:
Name: Menlove, Benjamin Roy Doctor of Dental Surgery (DDS)
Phone: (806) 507-7777
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral Medicinist | 125Q00000X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1164178026 |
|---|---|
| LBN Legal business name | Menlove Dental, Pllc |
| DBA Doing business as | Family Camp Dental |
| Authorized official | Menlove, Benjamin Roy Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 1st, 2022 |
| Last updated | Jun 26th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164178026 | NPPES |
| Texas | Other | 38058 | DENTAL LICENSE |
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