Provider Demographics
NPI:1750730644
Name:CALL, CAMERON KNIGHT (DMD)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:KNIGHT
Last Name:CALL
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 1:3082 W MAPLE LOOP DR STE 150
Mailing Address - Street 2:
Mailing Address - City:LEHI
Mailing Address - State:UT
Mailing Address - Zip Code:84043-5797
Mailing Address - Country:US
Mailing Address - Phone:385-630-8242
Mailing Address - Fax:
Practice Address - Street 1:3082 W MAPLE LOOP DR STE 150
Practice Address - Street 2:
Practice Address - City:LEHI
Practice Address - State:UT
Practice Address - Zip Code:84043
Practice Address - Country:US
Practice Address - Phone:385-630-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-10
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO002033081223G0001X
UT9862879-99221223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice