Healthcare Provider Details

I. General information

NPI: 1194382002
Provider Name (Legal Business Name): CAMERON THOMAS SAUNDERS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2019
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4655 LINGLESTOWN RD STE A
HARRISBURG PA
17112-8544
US

IV. Provider business mailing address

4655 LINGLESTOWN RD STE A
HARRISBURG PA
17112-8544
US

V. Phone/Fax

Practice location:
  • Phone: 717-652-4551
  • Fax:
Mailing address:
  • Phone: 717-652-4551
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number30.026254
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDSO44281
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: