Provider Demographics
NPI:1871507855
Name:CAMMAN, CONSTANCE (DDS)
Entity Type:Individual
Prefix:DR
First Name:CONSTANCE
Middle Name:
Last Name:CAMMAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7219 SAWMILL RD STE 205
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-5006
Mailing Address - Country:US
Mailing Address - Phone:614-791-0900
Mailing Address - Fax:614-791-0902
Practice Address - Street 1:7219 SAWMILL RD STE 205
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-5006
Practice Address - Country:US
Practice Address - Phone:614-791-0900
Practice Address - Fax:614-791-0902
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-28
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH20307332B00000X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH311582809OtherTIN