Provider Demographics
NPI:1023796646
Name:CAMERON, EMMA LEE (DDS)
Entity type:Individual
Prefix:DR
First Name:EMMA
Middle Name:LEE
Last Name:CAMERON
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 DUNNING ST
Mailing Address - Street 2:
Mailing Address - City:MALTA
Mailing Address - State:NY
Mailing Address - Zip Code:12020-4406
Mailing Address - Country:US
Mailing Address - Phone:518-899-6068
Mailing Address - Fax:
Practice Address - Street 1:127 DUNNING ST
Practice Address - Street 2:
Practice Address - City:MALTA
Practice Address - State:NY
Practice Address - Zip Code:12020-4406
Practice Address - Country:US
Practice Address - Phone:518-899-6068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-05
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY064785-01122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist