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Cameron J Clifford

Dentist, General Practice in Bethany, OK. Individual provider (NPI-1).

NPI number1861983124
StatusActive
Last updated in NPPESMay 22, 2018

Details

NPI
1861983124
Entity type
Individual (NPI-1)
Name
Cameron J Clifford
Sex
Male
Sole proprietor
No
Enumeration date
May 22, 2018
Last updated
May 22, 2018

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice7039OKYes

Practice location

6301 Nw 23rd St
Bethany, OK 73008-5931

Phone 405-495-2402

Mailing address

6301 Nw 23rd St
Bethany, OK 73008-5931

Phone 405-495-2402

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other General Practice Dentistry providers in Bethany, OK

All 8 General Practice Dentistry providers in Bethany · All 543 providers in Bethany

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