Provider Demographics
NPI:1326932500
Name:ROBERTSON, CAMERON LUKE (DDS)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:LUKE
Last Name:ROBERTSON
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2604 W GOLDFINCH DR
Mailing Address - Street 2:
Mailing Address - City:OZARK
Mailing Address - State:MO
Mailing Address - Zip Code:65721-0020
Mailing Address - Country:US
Mailing Address - Phone:417-299-0324
Mailing Address - Fax:417-299-0324
Practice Address - Street 1:18020 BUSINESS 13 STE E
Practice Address - Street 2:
Practice Address - City:BRANSON WEST
Practice Address - State:MO
Practice Address - Zip Code:65737-9685
Practice Address - Country:US
Practice Address - Phone:417-272-3352
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2025019758122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist