# ANGELA R. CAMERON, D.D.S.,P.C.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sophisticated Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043426380
- **Authorized official:** DR. ANGELA R CAMERON D.D.S. (OWNER)
- **Authorized official phone:** (423) 928-8359

## Contact information

- **Practice address:** 302 WESLEY ST, SUITE \#4, JOHNSON CITY, TN 37601-1740
- **Practice address phone:** (423) 928-8359
- **Practice address fax:** (423) 282-6018
- **Mailing address:** 302 WESLEY ST, SUITE \#4, JOHNSON CITY, TN 37601-1740
- **Mailing address phone:** (423) 928-8359
- **Mailing address fax:** (423) 282-6018

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7973 | TN | Yes |

## Other

- **Enumeration date:** 05/15/2007
- **Last updated:** 08/22/2020