Clifton S. Cameron, D.D.S. I - Aberdeen, PLLC
Organization Active NPI Oral and Maxillofacial Surgery (Dentist) · Aberdeen, NC
NPI 1366201717 · NPPES record last updated Feb 6, 2025
Key facts
- NPI
- 1366201717
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Oral and Maxillofacial Surgery (Dentist) 1223S0112X
- Legal business name
- CLIFTON S. CAMERON, D.D.S. I - ABERDEEN, PLLC
- Practice address
- 11220 US 15 501 Hwy
Aberdeen, NC 28315-2434 - Phone
- (910) 518-9559
- NPI assigned
- Mar 18, 2024
- Organization subpart
- No
Authorized official
- Name
- Marina Ramirez
- Title
- Credentialing Specialist
- Phone
- (202) 630-3939
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250313001792 | NC | DME Supplier - Oral Surgery - Dentist | 6709308208 | Practice locations: Aberdeen, NC |
National Provider Directory
Locations
11220 US 15 501 Hwy
Ste B
Aberdeen, NC 28315
Phone (910) 518-8010
11220 US 15 501 Hwy
Aberdeen, NC 28315
Phone (910) 518-9559
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) |
1223S0112X | Yes |
Addresses
Primary practice location
11220 US 15 501 Hwy
Aberdeen, NC 28315-2434
Mailing address
11220 US 15 501 Hwy Ste B
Aberdeen, NC 28315-2435
Other names
- Vista Sleep Solutions
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All providers in Aberdeen, NC · Oral and Maxillofacial Surgery (Dentist) in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.