Craig R Cameron DDS PLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

13429 Issued in MI

Legal business name

CRAIG R CAMERON DDS PLC

Practice address

12374 Stafford Street
Ravenna, MI 49451-0204

Phone

(231) 853-6618

Fax

(231) 853-2143

NPI assigned

Jun 14, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Craig Robert Cameron, D.D.S.NPI 1083809917

Title

It'S Member

Phone

(231) 853-6618

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Craig Robert Cameron, D.D.S.

  • Dentist
  • Ravenna, MI
  • NPI 1083809917
  NPD (past) Authorized official
• Daniel Paul Meeuwsen, D.D.S.

  • Dentist
  • Ravenna, MI
  • NPI 1609001296
  NPD (past)

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063455129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 204",
            "city": "RAVENNA",
            "state": "MI",
            "postal_code": "494510204",
            "telephone_number": "231-853-6618",
            "fax_number": "231-853-2143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12374 STAFFORD STREET",
            "city": "RAVENNA",
            "state": "MI",
            "postal_code": "494510204",
            "telephone_number": "231-853-6618",
            "fax_number": "231-853-2143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG R CAMERON DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "IT'S MEMBER",
        "authorized_official_telephone_number": "231-853-6618",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "13429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4544163",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Apple Family Medicine, P.L.C.
• Nicholas S Beechnau, D.O.
• Timothy L Beechnau, D.O.
• Joseph Thomas Bristol, RPH
• Craig Robert Cameron, D.D.S.
• Crockery Creek Elder Care, Inc
• Anita Curtis-Macdonald, D.C.
• Discover Yourself Counseling
• Robert Dean Douglas
• Carlee Emelander S Emelander

• All providers in Ravenna, MI
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.