| Cameron Village Dentist | |
|
2104 Smallwood Dr Raleigh NC 27605-1320 | |
| (919) 821-2454 | |
| Not Available |
| Full Name | Cameron Village Dentist |
|---|---|
| Speciality | Dentist |
| Location | 2104 Smallwood Dr, Raleigh, North Carolina |
| Authorized Official Name and Position | Jessica Erin Shireman (DENTIST) |
| Authorized Official Contact | 9192599516 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cameron Village Dentist 2104 Smallwood Dr Raleigh NC 27605-1320 Ph: (919) 821-2454 | Cameron Village Dentist 2104 Smallwood Dr Raleigh NC 27605-1320 Ph: (919) 821-2454 |
| NPI Number | 1134541584 |
|---|---|
| Provider Enumeration Date | 01/19/2014 |
| Last Update Date | 01/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134541584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 8992 (North Carolina) | Primary |
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