Provider Demographics
NPI:1518107820
Name:DR. CAMERON & ASSOCIATES OF MORRISVILLE, PLLC
Entity Type:Organization
Organization Name:DR. CAMERON & ASSOCIATES OF MORRISVILLE, PLLC
Other - Org Name:TRIANGLE FAMILY DENTISTRY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HESHAM
Authorized Official - Middle Name:SAMY
Authorized Official - Last Name:ABDELBAKY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:919-977-0627
Mailing Address - Street 1:3607 DAVIS DR STE 209
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6005
Mailing Address - Country:US
Mailing Address - Phone:919-977-0627
Mailing Address - Fax:
Practice Address - Street 1:3607 DAVIS DR STE 209
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6005
Practice Address - Country:US
Practice Address - Phone:919-977-0627
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-26
Last Update Date:2022-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8369122300000X
NC8432122300000X
1223G0001X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
No122300000XDental ProvidersDentistGroup - Multi-Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty