| Cameron Dental Clinic Ltd | |
|
902 Main St Cameron WI 54822-0360 | |
| (715) 458-4470 | |
| Not Available |
| Full Name | Cameron Dental Clinic Ltd |
|---|---|
| Speciality | Dentist |
| Location | 902 Main St, Cameron, Wisconsin |
| Authorized Official Name and Position | James P Cooley (OFFICER OF CAMERON DENTAL CLINIC LT) |
| Authorized Official Contact | 7154584470 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Dental Clinic Ltd Po Box 360 Cameron WI 54822-0360 Ph: (715) 458-4470 | Cameron Dental Clinic Ltd 902 Main St Cameron WI 54822-0360 Ph: (715) 458-4470 |
| NPI Number | 1174620330 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174620330 | NPI | - | NPPES |
| 33423600 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2677-015 (Wisconsin) | Primary |