| Cammack Orthodontics, Inc. | |
|
2051 S Wheeler St Ste A Jasper TX 75951-5600 | |
| (409) 384-8121 | |
| (409) 384-5337 |
| Full Name | Cammack Orthodontics, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2051 S Wheeler St Ste A, Jasper, Texas |
| Authorized Official Name and Position | Gerald Van Cammack (PRESIDENT) |
| Authorized Official Contact | 4093848121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cammack Orthodontics, Inc. 2051 S Wheeler St Ste A Jasper TX 75951-5600 Ph: (409) 384-8121 | Cammack Orthodontics, Inc. 2051 S Wheeler St Ste A Jasper TX 75951-5600 Ph: (409) 384-8121 |
| NPI Number | 1538353479 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 09/04/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538353479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 20846 (Texas) | Primary |
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