Organization Active NPI

Dr Cameron and Associates III, PLLC

  • Dental Clinic/Center
  • Fayetteville, NC
National Provider Identifier
1366856262
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
8549 Issued in NC
Legal business name
DR CAMERON AND ASSOCIATES III, PLLC
Practice address
300 Glensford Drive
Fayetteville, NC 28314
Phone
(910) 391-1502
NPI assigned
Jun 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Clifton Cameron, DDS
Title
Owner
Phone
(910) 988-5483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 8549 NC Primary

Addresses

Primary practice location

300 Glensford Drive
Fayetteville, NC 28314

Mailing address

1924 Finnegan St
Fayetteville, NC 28303-6819

Other names 1

  • CarolinasDentist.com Doing business as

National Provider Directory

National Provider Directory

Locations

300 Glensford Dr
Fayetteville, NC 28314
Phone (910) 391-1502

NPI Registry JSON

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

{
    "created_epoch": "1403049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1366856262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1924 FINNEGAN ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 GLENSFORD DRIVE",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "28314",
            "telephone_number": "910-391-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CAMERON AND ASSOCIATES III, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-18",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "CLIFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-988-5483",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NC",
            "license": "8549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CarolinasDentist.com",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.