| Craig R Cameron Dds Plc | |
|
12374 Stafford Street Ravenna MI 49451-0204 | |
| (231) 853-6618 | |
| (231) 853-2143 |
| Full Name | Craig R Cameron Dds Plc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12374 Stafford Street, Ravenna, Michigan |
| Authorized Official Name and Position | Craig Robert Cameron (IT'S MEMBER) |
| Authorized Official Contact | 2318536618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Craig R Cameron Dds Plc Po Box 204 Ravenna MI 49451-0204 Ph: (231) 853-6618 | Craig R Cameron Dds Plc 12374 Stafford Street Ravenna MI 49451-0204 Ph: (231) 853-6618 |
| NPI Number | 1063455129 |
|---|---|
| Provider Enumeration Date | 06/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063455129 | NPI | - | NPPES |
| 4544163 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 13429 (Michigan) | Primary |
Ravenna Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12374 Stafford St, Ravenna, MI 49451 Phone: 231-853-6618 Fax: 231-853-8043 |