# CAMERON STEWART DDS LLC

> 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
- **Other names:** Prosmiles Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821544792
- **Authorized official:** DR. CAMERON STEWART DDS (OWNER)
- **Authorized official phone:** (509) 529-3470

## Contact information

- **Practice address:** 860 S 2ND AVE, SUITE D, WALLA WALLA, WA 99362-4072
- **Practice address phone:** (509) 529-3470
- **Practice address fax:** (509) 529-3474
- **Mailing address:** 860 S 2ND AVE, SUITE D, WALLA WALLA, WA 99362-4072
- **Mailing address phone:** (509) 529-3470
- **Mailing address fax:** (509) 529-3474

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 00006438 | WA | Yes |

## Other

- **Enumeration date:** 08/30/2016
- **Last updated:** 01/02/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1841387156 | MEDICARE | — |
| 01 | — | 50004 | LABOR AND INDUSTRIES | — |
| 05 | — | 5014667 | — | WA |