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NPI Code Detail

MEDICARE: ANGELA R. CAMERON, D.D.S.,P.C.

MEDICARE: ANGELA R. CAMERON, D.D.S.,P.C.
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
11223G0001XGeneral Practice Dentistry7973TN

General Provider Information

NPI Number : 1043426380
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANGELA R. CAMERON, D.D.S.,P.C.
Provider Business Mailing Address
First Line : 302 WESLEY ST
Second Line : SUITE #4
City : JOHNSON CITY
State : TN
Zip : 37601-1740
Country : US
Telephone Number : 423-928-8359
Fax Number : 423-282-6018
Provider Business Practice Location Address
First Line : 302 WESLEY ST
Second Line : SUITE #4
City : JOHNSON CITY
State : TN
Zip : 37601-1740
Country : US
Telephone Number : 423-928-8359
Fax Number : 423-282-6018
Authorized Official
Title or Position : OWNER
Name : DR. ANGELA R CAMERON
Credential : D.D.S.
Telephone Number : 423-928-8359
Provider Enumeration Date : 05/15/2007
Last Update Date : 08/22/2020

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Directions to “ANGELA R. CAMERON, D.D.S.,P.C. ” Practice Location

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