Provider Demographics
NPI:1962406579
Name:HERRING, CAMERON BRIAN (DDS)
Entity type:Individual
Prefix:DR
First Name:CAMERON
Middle Name:BRIAN
Last Name:HERRING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3311 PRESTON RD
Mailing Address - Street 2:SUITE 10
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-9025
Mailing Address - Country:US
Mailing Address - Phone:972-668-7118
Mailing Address - Fax:
Practice Address - Street 1:3311 PRESTON ROAD
Practice Address - Street 2:SUITE 10
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-9025
Practice Address - Country:US
Practice Address - Phone:972-668-7118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX221841223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice