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CAMP SMILE ORTHODONTICS PLYMOUTH PLLC
NPI 1194316646
Clinic/Center - Dental in Plymouth, MN

Active since January 28, 2021
2805 CAMPUS DR STE 245, PLYMOUTH, MN 55441(763) 383-1788 Get Directions Write a Review

NPPES record last updated: January 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Camp Smile Orthodontics Plymouth Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAMP SMILE ORTHODONTICS PLYMOUTH PLLC (NPI 1194316646) is a healthcare organization registered as a dental in Plymouth, Minnesota and active in the NPI registry since January 2021. The organization lists Bobbi L Augustyn, Owner, as its authorized official.

NPPES Registry Identity

NPI1194316646
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCAMP SMILE ORTHODONTICS PLYMOUTH PLLC
Location Address2805 CAMPUS DR STE 245Plymouth, MN 55441-2678
Mailing Address2805 Campus Dr Ste 245Plymouth, MN 55441-2678 · (763) 383-1788
Phone(763) 383-1788
Organization SubpartNo
Authorized OfficialBobbi L AugustynOwner · (763) 383-1788
Enumeration DateJanuary 28, 2021
NPPES CertifiedJanuary 27, 2021
✔ NPI 1194316646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2805 CAMPUS DR STE 245, Plymouth, MN 55441
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NIMA IBRAHIM ODOWA DDS
Dentist (Pediatric Dentistry)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788
ALISON SEAMANS
Dentist (Pediatric Dentistry)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788
DR. ALYSSA MARIE DOMICO DMD, MS
Dentist (Orthodontics and Dentofacial Orthopedics)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788
DR. BRITTANY GRANOSKI DMD, FRCD(C)
Dentist (Pediatric Dentistry)
2805 CAMPUS DR STE 245
PLYMOUTH, MN 55441
Hennepin County (763) 383-1788

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Camp Smile Orthodontics Plymouth PLLC's NPI number?

The NPI number for Camp Smile Orthodontics Plymouth PLLC is 1194316646. It was assigned to this organization in the NPPES registry on January 28, 2021.

Where is Camp Smile Orthodontics Plymouth PLLC located?

Camp Smile Orthodontics Plymouth PLLC is located at 2805 Campus Dr Ste 245, Plymouth, MN 55441. The listed phone number is (763) 383-1788.

What is Camp Smile Orthodontics Plymouth PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Camp Smile Orthodontics Plymouth PLLC was last updated on January 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.