Organization · Type 2 NPI

Clifton S. Cameron DDS Ii-Leesville, PLLC

Oral and Maxillofacial Surgery (Dentist) · Raleigh, NC

NPI number 1366299091 Active

Practice location

9305 Leesville Rd Ste 102
Raleigh, NC 27613-7603

Specialties and licenses

Taxonomy	Code	License
Dentist	122300000X	None listed
General Practice Dentistry	1223G0001X	None listed
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

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NPI record

NPI: 1366299091
Entity type: Organization (Type 2)
Issued: May 1, 2024
Last updated: Feb 6, 2025
Status: Active

Other names

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Vista Oral Surgery and Implants - Raleigh · doing business as
Vista Oral Surgery and Implants - Raleigh · doing business as

Authorized official

Marina R
Credentialing Specialist
(202) 630-3939

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1366299091

Clifton S. Cameron DDS Ii-Leesville, PLLC's National Provider Identifier is 1366299091, issued on May 1, 2024. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Raleigh, NC. The record was last updated on Feb 6, 2025.