# EAST TEXAS ENDODONICS

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Office of Dr. John B Ross & Dr. Mark A Camp
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346249612
- **Authorized official:** DR. MARK A CAMP DDS (PRESIDENT)
- **Authorized official phone:** (903) 757-8890

## Contact information

- **Practice address:** 815C NORTH 4TH STREET, LONGVIEW, TX 75601-5439
- **Practice address phone:** (903) 757-8890
- **Practice address fax:** (903) 757-7198
- **Mailing address:** 815C NORTH 4TH STREET, LONGVIEW, TX 75601-5439
- **Mailing address phone:** (903) 757-8890
- **Mailing address fax:** (903) 757-7198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | 12232 | TX | — |
| 1223E0200X | Endodontics | 20882 | TX | Yes |

## Other

- **Enumeration date:** 07/19/2005
- **Last updated:** 08/22/2020