MEDICARE: DRS. CAMERON, CLINE & ASSOCIATES, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1407042716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRS. CAMERON, CLINE & ASSOCIATES, PLLC

Provider Business Mailing Address
First Line	:	501 ATLANTIC BEACH CSWY
Second Line	:
City	:	ATLANTIC BEACH
State	:	NC
Zip	:	28512-7341
Country	:	US
Telephone Number	:	252-247-6704
Fax Number	:	252-247-3670

Provider Business Practice Location Address
First Line	:	501 ATLANTIC BEACH CSWY
Second Line	:
City	:	ATLANTIC BEACH
State	:	NC
Zip	:	28512-7341
Country	:	US
Telephone Number	:	252-247-6704
Fax Number	:	252-247-3670

Authorized Official
Title or Position	:	MEMBER
Name	:	DR. JULIAN EVERETT CAMERON JR.
Credential	:	D.D.S.
Telephone Number	:	252-247-6704

Provider Enumeration Date	:	09/20/2007
Last Update Date	:	09/20/2007

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