NPI 1194489930 · live from the CMS NPI Registry
Dr. Clifton Cameron & Associates Of Heritage Junction, PLLC
Dentist, Orthodontics and Dentofacial Orthopedics in Wake Forest, NC. National Provider Identifier 1194489930, active.
NPI record
| NPI | 1194489930 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2824 Rogers Rd Ste 200, Wake Forest, NC 27587 |
| Practice phone | 919-453-6325 |
| Enumerated | October 27, 2021 |
| Last updated | April 30, 2024 |
| Authorized official | Chad Hendricks, Credentialing |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.