Egbert, Cameron Judd
Egbert, Cameron Judd is an sole proprietor health care provider with primary practice located at 642 Kirby Ln Ste 101 , Spanish Fork UT 84660-5753. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Egbert, Cameron Judd can be contacted via phone (801) 798-9500.Contact Information
Primary practice address
642 Kirby Ln Ste 101
Spanish Fork UT 84660-5753
Phone: (801) 798-9500
Fax: (801) 798-5466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | Wisconsin | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 7835316 | Utah |
Profile Details
| NPI number | 1033320957 |
|---|---|
| LBN Legal business name | Egbert, Cameron Judd |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 24th, 2007 |
| Last updated | May 23rd, 2018 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033320957 | NPPES |
| Utah | MEDICAID | 1033320957 |
Popular Providers
-
Brillman, Robert
4 Ridings Way , West Chester PA 19382-7488 -
Tepper, Jason Andrew
642 Kirby Ln Ste 101 , Spanish Fork UT 84660-5753 -
Orden, Adam
1330 Beacon St Ste 344, Brookline MA 02446-3202 -
Radecki, Cass Anthony
203 W Michigan Ave , Saline MI 48176-1329 -
Sitters, Michael Andrew
21301 Kuykendahl Rd Ste G , Spring TX 77379-2614 -
Schabes, George A
2035 Lakeville Rd Ste 204, New Hyde Park NY 11040-1661 -
Brevard, Rebekah R
101 Stone Harbor Blvd , Cape May Court House NJ 08210-2135 -
Tulman, Jeffrey M.
425 Broadhollow Rd Ste 102, Melville NY 11747-4701