Camp, Laneshia Shante

Camp, Laneshia Shante is an individual health care provider with primary practice located at 315 W Ponce De Leon Ave Ste 200 , Decatur GA 30030-2483. She recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as her primary health care specialty. Camp, Laneshia Shante can be contacted via phone (404) 381-1840.

Contact Information

Primary practice address
315 W Ponce De Leon Ave Ste 200 Decatur GA 30030-2483
Phone: (404) 381-1840
Fax: (404) 341-9488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 25771 Texas
Dental Providers / Pediatric Dentistry 1223P0221X DN014242 Georgia

Profile Details

NPI number 1336305960
LBN Legal business name Camp, Laneshia Shante
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2008
Last updated Mar 25th, 2022 - about 4 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 1336305960 NPPES
Georgia Other DNO14242 DENTAL LICENSE

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