Provider Demographics
NPI:1275834525
Name:RASOOL, CAMERON JAMAL (DDS, MS)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:JAMAL
Last Name:RASOOL
Suffix:
Gender:M
Credentials:DDS, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5890 MORNING STAR CT
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:IA
Mailing Address - Zip Code:50327-2230
Mailing Address - Country:US
Mailing Address - Phone:515-266-2154
Mailing Address - Fax:
Practice Address - Street 1:5890 MORNING STAR CT.
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:IA
Practice Address - Zip Code:50327-2230
Practice Address - Country:US
Practice Address - Phone:515-266-2154
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2015-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA087671223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics