Dentists of Cameron Park, Prof. Corp

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS OF CAMERON PARK, PROF. CORP

Doing business as

Dentists of Cameron Park

Practice address

3291 Coach LN Ste B
Cameron Park, CA 95682-8487

Phone

(530) 267-6561

Fax

(530) 387-4078

NPI assigned

Oct 22, 2026

Last updated

Oct 22, 2026By 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

Antonina Borisov, DMD

Title

Owner

Phone

(530) 267-6561

Specialties & licenses 1

Addresses

Other names 1

• Dentists of Cameron Park Doing business as

Locations

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

{
    "created_epoch": "1792627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1851298921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660041",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752660041",
            "telephone_number": "714-845-8890",
            "fax_number": "303-952-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3291 COACH LN STE B",
            "city": "CAMERON PARK",
            "state": "CA",
            "postal_code": "956828487",
            "telephone_number": "530-267-6561",
            "fax_number": "530-387-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS OF CAMERON PARK, PROF. CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-22",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-22",
        "status": "A",
        "authorized_official_last_name": "BORISOV",
        "authorized_official_first_name": "ANTONINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "530-267-6561",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dentists of Cameron Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dr. Lauren Anderson .OD., Inc.

• General Practice Dentistry in Cameron Park, CA
• Providers in Cameron Park, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; 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.