Organization
ALEX CAMMACK DDS, PLLC
Active
Other names
Ross & Cammack Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLAY ALEXANDER CAMMACK DDS (OWNER)
(817) 292-2555
Entity
Organization
Contact information
Practice address
4760 BARWICK DR STE B, FORT WORTH, TX 76132-1529
(817) 292-2555
Mailing address
4760 BARWICK DR STE B, FORT WORTH, TX 76132-1529
(817) 292-2555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FC2771827
DA
TX
Enumeration date
10/26/2023
Last updated
04/04/2024
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