NPI 1013112978

Cameron Mark Workman, DDS

Practitioner General Practice Dentistry Logan, UT

Practice location

Address: 150 E 200 N STE C, Logan, UT 84321-4036
Phone: (435) 752-9225

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 6626806-9922 (UT)

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Registry record

NPI: 1013112978
Entity type: Individual
Sex (as registered): Male
NPI issued: 19 Jun 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.