# CAMMACK ORTHODONTICS, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538353479
- **Authorized official:** DR. GERALD VAN CAMMACK II D.D.S., M.S. (PRESIDENT)
- **Authorized official phone:** (409) 384-8121

## Contact information

- **Practice address:** 2051 S WHEELER ST STE A, JASPER, TX 75951-5600
- **Practice address phone:** (409) 384-8121
- **Practice address fax:** (409) 384-5337
- **Mailing address:** 2051 S WHEELER ST STE A, JASPER, TX 75951-5600
- **Mailing address phone:** (409) 384-8121
- **Mailing address fax:** (409) 384-5337

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 20846 | TX | Yes |

## Other

- **Enumeration date:** 09/04/2007
- **Last updated:** 09/04/2007