Provider Demographics
NPI:1932867595
Name:CAMERON FREELOVE DDS MS PLLC
Entity Type:Organization
Organization Name:CAMERON FREELOVE DDS MS PLLC
Other - Org Name:FREELOVE ORTHODONTICS & SMILE DESIGN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ORTHODONTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAMERON
Authorized Official - Middle Name:
Authorized Official - Last Name:FREELOVE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:916-384-8188
Mailing Address - Street 1:10920 SE 208TH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98031-4009
Mailing Address - Country:US
Mailing Address - Phone:253-852-7331
Mailing Address - Fax:
Practice Address - Street 1:10920 SE 208TH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-4009
Practice Address - Country:US
Practice Address - Phone:253-852-7331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2024-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty