# BRANCH DENTAL CLINIC NEW RIVER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NAVAL HOSPITAL CAMP LEJEUNE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1407042815
- **Legal business name:** NAVAL HOSPITAL CAMP LEJEUNE
- **Authorized official:** MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER)
- **Authorized official phone:** (240) 401-3643

## Contact information

- **Practice address:** 100 BREWSTER BLVD, CODE 08/ZD, CAMP LEJEUNE, NC 28547-2538
- **Practice address phone:** (910) 450-4159
- **Practice address fax:** (910) 450-4194
- **Mailing address:** 100 BREWSTER BLVD, CODE 08/ZD, CAMP LEJEUNE, NC 28547-2538
- **Mailing address phone:** (910) 450-4159
- **Mailing address fax:** (910) 450-4194

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2007
- **Last updated:** 12/20/2017