Cameron Lundin, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D010399 Issued in AZ

Practice address

1741 Mesquite Ave Ste 100B
Lake Havasu City, AZ 86403-5686

Phone

(928) 855-0556

NPI assigned

Jun 17, 2019

Last updated

Jun 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Cameron Lundin Dentist LLC

  dba Lundin Dental

  • General Practice Dentistry
  • Lake Havasu City, AZ
  • NPI 1538705744
  NPD Authorized official
• Lundin Dental PC

  • Customized Equipment (DME)
  • Lake Havasu City, AZ
  • NPI 1447643358
  NPD (past)

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560729600000",
    "number": "1194385724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "781 YOSEMITE DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864068468",
            "telephone_number": "928-486-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1741 MESQUITE AVE STE 100B",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035686",
            "telephone_number": "928-855-0556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNDIN",
        "first_name": "CAMERON",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D010399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Otto Lucas, LISAC
• Marlie E Lucas, FNP-BC
• L D Lumpkin, LCSW LISAC
• Luana Kay Luna, PTA
• Lundin Dental PC
• Larry C Lundin, DDS
• Paula R Lupo, MA LPC
• Thomas C Ly, MD
• Jennifer Macdonald
• George Macey

• General Practice Dentistry in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.