| Cameron Dental Clinic | |
|
Highway 89 North At The 466 Mile Marker 1/8 Mile N Of Cameron Chapter House Cameron AZ 86020 | |
| (928) 283-2672 | |
| (928) 283-2677 |
| Full Name | Cameron Dental Clinic |
|---|---|
| Speciality | Dentist - General Practice |
| Location | Highway 89 North At The 466 Mile Marker, Cameron, Arizona |
| Authorized Official Name and Position | Joseph T Engelken (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9282832501 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Dental Clinic Po Box 600 Tuba City AZ 86045-0600 Ph: (928) 283-2501 | Cameron Dental Clinic Highway 89 North At The 466 Mile Marker 1/8 Mile N Of Cameron Chapter House Cameron AZ 86020 Ph: (928) 283-2672 |
| NPI Number | 1134382211 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 03/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134382211 | NPI | - | NPPES |
| 409449 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |