Healthcare Provider Details

I. General information

NPI: 1457206153
Provider Name (Legal Business Name): DR CAMERON & ASSOCIATES OF NORTH DURHAM PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4020 N ROXBORO ST STE 200
DURHAM NC
27704-2592
US

IV. Provider business mailing address

4020 N ROXBORO ST STE 200
DURHAM NC
27704-2592
US

V. Phone/Fax

Practice location:
  • Phone: 919-404-7930
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223X0400X
TaxonomyOrthodontics and Dentofacial Orthopedics Dentistry
License Number
License Number State

VIII. Authorized Official

Name: KIM DAVIS
Title or Position: RCM DIRECTOR
Credential:
Phone: 703-568-5773