Provider Demographics
NPI:1700438629
Name:CONSTANCE CAMMAN DDS, LTD
Entity Type:Organization
Organization Name:CONSTANCE CAMMAN DDS, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CONSTANCE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:614-791-0900
Mailing Address - Street 1:7219 FALLMILL 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 FALLMILL 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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CONSTANCE CAMMAN DDS, LTD
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies