Dr. Cameron & Associates of Rolesville, PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

Legal business name

DR. CAMERON & ASSOCIATES OF ROLESVILLE, PLLC

Practice address

101 Redford Place Dr Ste 200
Rolesville, NC 27571-9545

Phone

(919) 977-0627

NPI assigned

Jan 23, 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 1

• Gladwell Orthodontics Doing business as

Locations

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

{
    "created_epoch": "1674432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1972218162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603775",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 REDFORD PLACE DR STE 200",
            "city": "ROLESVILLE",
            "state": "NC",
            "postal_code": "275719545",
            "telephone_number": "919-977-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. CAMERON & ASSOCIATES OF ROLESVILLE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-23",
        "last_updated": "2023-12-08",
        "certification_date": "2023-02-17",
        "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": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gladwell Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Fatu Dukuray

• Orthodontics and Dentofacial Orthopedics Dentistry in Rolesville, NC
• Providers in Rolesville, NC by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in North Carolina

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