Healthcare Provider Details

I. General information

NPI: 1134045891
Provider Name (Legal Business Name): CAMERON MADSEN DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3325 S AVENUE 8 E STE 4
YUMA AZ
85365-8162
US

IV. Provider business mailing address

4080 S SUNLIGHT WAY
YUMA AZ
85365-8431
US

V. Phone/Fax

Practice location:
  • Phone: 928-318-6357
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD012888
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: