# BROCK A. CAMERON, DMD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edwards Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124747589
- **Authorized official:** DR. BROCK ALEXANDER CAMERON DMD (OWNER/DENTIST)
- **Authorized official phone:** (618) 977-4595

## Contact information

- **Practice address:** 777 S NEW BALLAS RD, SAINT LOUIS, MO 63141-8705
- **Practice address phone:** (314) 965-2950
- **Mailing address:** 209 GRAYLEAF CT, WENTZVILLE, MO 63385-6232
- **Mailing address phone:** (618) 977-4595

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/26/2022
- **Last updated:** 08/26/2022