Provider Demographics
NPI:1316062011
Name:CAMP, GEORGE K III (DDS)
Entity type:Individual
Prefix:DR
First Name:GEORGE
Middle Name:K
Last Name:CAMP
Suffix:III
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1025 W MEETING ST
Mailing Address - Street 2:STE 100
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-2204
Mailing Address - Country:US
Mailing Address - Phone:803-285-9956
Mailing Address - Fax:803-286-8776
Practice Address - Street 1:1025 W MEETING ST
Practice Address - Street 2:STE 100
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-2204
Practice Address - Country:US
Practice Address - Phone:803-285-9956
Practice Address - Fax:803-286-8776
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3654122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist