Doctor Name: | CAMERON P QUAYLE |
NPI Number: | 1225194046 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DDS |
License Number: | 5776592 |
Business Practice Address: | 2719 N Highway 89 Ste 200 Suite 200 Pleasant View, UT - 844046257 |
Business Phone Number: | 8017375437 |
Business Fax Number: | 8017375452 |
Mailing Address: | 2719 N Highway 89, Suite 200 PLEASANT VIEW |
State: | UT |
Postal Code: | 844046256 |
Phone Number: | 8017375437 |
Fax Number: | 8017375452 |
NPI Enumeration Date: | 12/28/2006 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 5776592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |