Provider Demographics
NPI:1952530644
Name:HOWARD, CAMERON MICHAEL (DMD)
Entity Type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:MICHAEL
Last Name:HOWARD
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 1:975 PEACHTREE PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6828
Mailing Address - Country:US
Mailing Address - Phone:770-624-0029
Mailing Address - Fax:
Practice Address - Street 1:975 PEACHTREE PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-6828
Practice Address - Country:US
Practice Address - Phone:770-624-0029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-02
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN18260122300000X
GADNO14143122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist