Dr. Cameron & Associates XII, PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DR. CAMERON & ASSOCIATES XII, PLLC

Doing business as

CD Winston Salem
Drs. Abdelbaky, Boes, Cameron & Associates of Rolesville, PLLC

Practice address

3340 Tabor Place CT
Winston Salem, NC 27106-5463

Phone

(571) 659-5954

NPI assigned

Jan 31, 2023

Organization subpart

No

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

Authorized official

Name

Amena Holley

Title

Credentialing Specialist

Phone

(248) 550-5440

Specialties & licenses 1

Addresses

Other names 2

• CD Winston Salem Doing business as
• Drs. Abdelbaky, Boes, Cameron & Associates of Rolesville, PLLC Doing business as

Locations

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

{
    "created_epoch": "1675123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702252800000",
    "number": "1912603168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13580 GROUPE DR STE 305",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221924165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 TABOR PLACE CT",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271065463",
            "telephone_number": "571-659-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMERON & ASSOCIATES XII, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-31",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "HOLLEY",
        "authorized_official_first_name": "AMENA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "248-550-5440"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CD Winston Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CD Winston Salem",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Drs. Abdelbaky, Boes, Cameron & Associates of Rolesville, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Latisha Dozier, MS, LPC, CRC
• Dr Hands Home Health Care/Transportation LLC
• Dr Matthew K Keider DDS PA
• Dr. B. Keith Cash - Optometry, PLLC
• Dr. Cameron & Associates of Winston-Salem, PLLC (Merhoff & Associates Pediatric Dentistry)
• Dr. R Edward Mooring Jr. & Associates, PA (DentalWorks)
• Joseph Daniel Dragonetti, M.D.
• Nicole Drake
• Sarah R Dralle, NP
• Iesha Drame', OTR/L

• General Practice Dentistry in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.