BROCK A. CAMERON, DMD, LLC – NPI #1124747589
Clinic/Center

BROCK A. CAMERON, DMD, LLC is an AHC clinic located in SAINT LOUIS, MO. NPPES has assigned the NPI number 1124747589 to BROCK A. CAMERON, DMD, LLC on August 26, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BROCK A. CAMERON, DMD, LLC below.

NPI Profile for
BROCK A. CAMERON, DMD, LLC

NPI Number
1124747589
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BROCK A. CAMERON, DMD, LLC
Primary location
777 S NEW BALLAS RD
SAINT LOUIS, MO 63141-8705
Phone: (314) 965-2950 Fax:
Mailing address
209 GRAYLEAF CT
WENTZVILLE, MO 63385-6232
Phone: (618) 977-4595 Fax:
Organization Subpart
No
Authorized Official
BROCK CAMERON
OWNER/DENTIST
Phone: (618) 977-4595
Updated
Certification Date
Aug 26, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.