CRAIG R CAMERON DDS PLC (NPI# 1063455129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063455129 |
| Entity Type | Organization |
| Organization Name | CRAIG R CAMERON DDS PLC |
| Practice Address |
12374 Stafford Street Ravenna MI 49451-0204 |
| Mailing Address |
Po Box 204 Ravenna MI 49451-0204 |
| Practice Telephone | 2318536618 |
| Practice Fax Number | 2318532143 |
| Mailing Telephone | 2318536618 |
| Mailing Fax Number | 2318532143 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CRAIG ROBERT CAMERON (IT'S MEMBER) |
| Authorized Official Telephone | 2318536618 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
13429 | MI | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 4544163 | 05 |
| Street Address |
12374 STAFFORD STREET |
| City | RAVENNA |
| State | MI |
| Zip Code | 49451-0204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083809917 | Craig Robert Cameron | Dentist | 12374 Stafford Street, Ravenna, MI 49451-0204 | 2007-09-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356740245 | Crockery Creek Elder Care, Inc | Assisted Living Facility | 12291 Crockery Creek Dr., Ravenna, MI 49451 | 2014-08-18 |
| 1114251139 | Alisha Lewise Warner | Nurse's Aide | 155 S. Trent Rd., Ravenna, MI 49451 | 2009-09-23 |
| 1346413309 | Kelley Marie Young | Nurse Practitioner | 12520 Crockery Creek Drive, Ravenna, MI 49451 | 2008-04-10 |
| 1508084310 | Bonnie Jean Pline | Family Medicine | 1042 S. Ravenna Rd., Ravenna, MI 49451 | 2007-04-24 |
| 1083619936 | Timothy L Beechnau | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2005-06-16 |
| 1417279407 | Apple Family Medicine, P.l.c. | Clinic/Center | 1042 S Ravenna Rd, Ravenna, MI 49451 | 2010-02-18 |
| 1497928469 | Ravenna Family Practice, P.C. | Family Medicine | 12520 Crockery Creek Dr., Ravenna, MI 49451 | 2008-04-10 |
| 1023287836 | Robert D & Cindy L Douglas | Technician/Technologist | 12412 Stafford, Ravenna, MI 49451-0307 | 2008-02-26 |
| 1164784724 | Nicholas S Beechnau | Family Medicine | 12520 Crockery Creek Dr, Ravenna, MI 49451-5100 | 2012-06-11 |
| 1609001296 | Daniel Paul Meeuwsen | Dentist | 12374 Stafford St, Ravenna, MI 49451-5104 | 2009-05-26 |
| Find all providers in zip 49451 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902941594 | David E Chlysta | Dentist | 6693 N Chestnut Street, Suite 131-a, Ravenna, OH 44266-3922 | 2007-02-21 |
| 1316093024 | Portage Dental Center | Dentist | 250 S Chestnut St Ste 30, Ravenna, OH 44266-3031 | 2007-01-26 |
| 1497813935 | John Marshall Brooke | Dentist | 250 S Chestnut St, Ravenna, OH 44266-3031 | 2006-12-05 |
| 1053323311 | Robert Daniel Wicks | Dentist | 4352 Lovers Ln, Ravenna, OH 44266-9132 | 2006-08-13 |
| 1689018608 | Sandon Scott Wiedemann | Dentist | 250 S Chestnut St Ste 30, Ravenna, OH 44266-3031 | 2013-04-21 |
| 1801058870 | Michael David Adkins | Dentist | 209 Lawrence St, Ravenna, OH 44266-3214 | 2008-06-30 |
| 1275710840 | Naheed Mohamed | Dentist | 250 S Chestnut St, Suite 30, Ravenna, OH 44266-3031 | 2008-01-25 |
| 1538370473 | James Norman Farris | Dentist | 102 W Seneca St, Ravenna, NE 68869-1363 | 2007-05-24 |
| 1609086024 | Richard Corven Miller | Dentist | 309 E Main St, Ravenna, OH 44266-3107 | 2007-05-23 |
| 1396861944 | William R Braden | Dentist | 250 S Chestnut St, Suite #36, Ravenna, OH 44266-3031 | 2007-03-22 |
| Find all providers in RAVENNA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.