Provider Demographics
NPI:1437622792
Name:DR. CAMERON & ASSOCIATES OF BRIER CREEK, PLLC
Entity Type:Organization
Organization Name:DR. CAMERON & ASSOCIATES OF BRIER CREEK, PLLC
Other - Org Name:TRIANGLE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOES
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-977-0627
Mailing Address - Street 1:7860 BRIER CREEK PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-8903
Mailing Address - Country:US
Mailing Address - Phone:919-977-0627
Mailing Address - Fax:919-435-1110
Practice Address - Street 1:7860 BRIER CREEK PKWY STE 100
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-8903
Practice Address - Country:US
Practice Address - Phone:919-977-0627
Practice Address - Fax:919-435-1110
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-09
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty