Healthcare Provider Details

I. General information

NPI: 1235068628
Provider Name (Legal Business Name): CAMERON COLLINS DDS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5823 WOOSTER PIKE
CINCINNATI OH
45227-4505
US

IV. Provider business mailing address

5823 WOOSTER PIKE
CINCINNATI OH
45227-4505
US

V. Phone/Fax

Practice location:
  • Phone: 513-982-5578
  • Fax:
Mailing address:
  • Phone: 513-982-5578
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number30.028411
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: