Cameron Dezham, D.D.S.

General Practice Dentistry · San Mateo, CA

Individual Active NPI

NPI number 1093926677

Practice location

216 De Anza Blvd
San Mateo, CA 94402-3913
Phone
(650) 524-4855
Fax
(650) 524-4859

Open in Google Maps

NPI record

NPI
1093926677
Entity type
Individual (Type 1)
Enumeration date
May 24, 2007
Last updated
October 27, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 45243 CA

About Dr. Dezham

Cameron Dezham, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 216 De Anza Blvd, San Mateo, CA 94402-3913. The NPI number 1093926677 was assigned on May 24, 2007 and the record was last updated on October 27, 2008.

Dr. Dezham lists a license in the registry: #45243 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cameron Dezham, D.D.S.?

The NPI number is 1093926677.

What is the phone number of Dr. Dezham?

The phone number listed for the practice location is (650) 524-4855.

Where is Dr. Dezham located?

216 De Anza Blvd, San Mateo, CA 94402-3913.

What is the taxonomy code for Dr. Dezham?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other General Practice Dentistry providers in San Mateo

All General Practice Dentistry providers in San Mateo, CA →