Clifton S. Cameron, D.D.S. III - Leesville, PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CLIFTON S. CAMERON, D.D.S. III - LEESVILLE, PLLC

Practice address

9305 Leesville Rd Ste 202
Raleigh, NC 27613-7603

Phone

(910) 260-5296

NPI assigned

Jan 8, 2025

Last updated

Jan 8, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marina Ramirez

Title

Credentialing Specialist

Phone

(301) 202-4724

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736294400000",
    "number": "1477363091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 LEESVILLE RD STE 102",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9305 LEESVILLE RD STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276137603",
            "telephone_number": "910-260-5296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLIFTON S. CAMERON, D.D.S. III - LEESVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "MARINA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "301-202-4724"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily D Clendenin, COTA/L
• Amanda Clerkin, MSW, LCSW
• Client Journey Counseling & Consulting
• Mackenzie Shae Clifford
• Clifton S. Cameron DDS II-Leesville, PLLC (Vista Oral Surgery and Implants - Raleigh)
• Stephanie Y. Clifton-Pace, PHARMD
• Doug Clifton, OPTICIAN
• Jeffrey T Cline
• Marina Esther Cline, LPC
• Robert Santo Cline, LCSW

• Dentist in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Dentist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.