Aesthetic & Family Dentistry LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4837 Issued in NE

Legal business name

AESTHETIC & FAMILY DENTISTRY LLC

Doing business as

Aesthetic & Family Dentistry:Cameron Larry a DDS

Practice address

505 Cornhusker Rd Ste 102
Bellevue, NE 68005-7911

Phone

(402) 293-1234

Fax

(402) 293-9364

NPI assigned

Nov 5, 2014

Last updated

Nov 5, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Larry A Cameron, DDSNPI 1861408916

Title

Owner

Phone

(402) 293-1234

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Aesthetic & Family Dentistry:Cameron Larry a DDS Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Larry A Cameron, DDS

  • General Practice Dentistry
  • Bellevue, NE
  • NPI 1861408916
  Authorized official Same address or phone
• Alyssa Lyn Butler, D.D.S.

  • Dentist
  • Bellevue, NE
  • NPI 1508165168
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415145600000",
    "number": "1033515903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 CORNHUSKER RD STE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680057911",
            "telephone_number": "402-293-1234",
            "fax_number": "402-293-9364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 CORNHUSKER RD STE 102",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680057911",
            "telephone_number": "402-293-1234",
            "fax_number": "402-293-9364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AESTHETIC & FAMILY DENTISTRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2014-11-05",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-293-1234",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1223G0001X",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aesthetic & Family Dentistry:Cameron Larry a DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• General Practice Dentistry in Bellevue, NE
• Providers in Bellevue, NE by specialty
• General Practice Dentistry in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.