Active NPI
Dr Cameron and Associates III, PLLC
- Dental Clinic/Center
- Fayetteville, NC
National Provider Identifier
1366856262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- 8549
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.