Provider Demographics
NPI:1245595768
Name:WARNER, CAMERON F (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:F
Last Name:WARNER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W MERCER ST
Mailing Address - Street 2:STE. 205
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3995
Mailing Address - Country:US
Mailing Address - Phone:206-281-8300
Mailing Address - Fax:206-281-0075
Practice Address - Street 1:200 W MERCER ST
Practice Address - Street 2:STE. 205
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3995
Practice Address - Country:US
Practice Address - Phone:206-281-8300
Practice Address - Fax:206-281-0075
Is Sole Proprietor?:No
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE20298422122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist