Provider Demographics
NPI:1972049237
Name:JANOWSKI, CAMERON (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:
Last Name:JANOWSKI
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11206 SW 93RD COURT RD STE 200
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34481-5252
Mailing Address - Country:US
Mailing Address - Phone:312-320-6411
Mailing Address - Fax:
Practice Address - Street 1:11206 SW 93RD COURT RD STE 200
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34481-5252
Practice Address - Country:US
Practice Address - Phone:312-320-6411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN22479122300000X
IL019.030959122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist