Provider Demographics
NPI:1568532364
Name:OLER, CAMERON D (DDS)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:D
Last Name:OLER
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 1:2041 STADIUM BLVD
Mailing Address - Street 2:
Mailing Address - City:TWIN FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83301-4331
Mailing Address - Country:US
Mailing Address - Phone:208-421-0097
Mailing Address - Fax:208-734-6470
Practice Address - Street 1:1411 FALLS AVE E # 1329
Practice Address - Street 2:
Practice Address - City:TWIN FALLS
Practice Address - State:ID
Practice Address - Zip Code:83301-3455
Practice Address - Country:US
Practice Address - Phone:208-734-6464
Practice Address - Fax:208-734-6470
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDD-3954-EN1223E0200X
NE64701223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1223E0200XDental ProvidersDentistEndodontics
Not Answered1223G0001XDental ProvidersDentistGeneral Practice