Organization
DWAYNE B. MCCAMISH DDS MS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEWAYNE B. MCCAMISH DDS, MS (PRESIDENT)
(423) 622-4173
Entity
Organization
Contact information
Practice address
4610 BRAINERD ROAD, CHATTANOOGA, TN 37411
(423) 622-4173
(423) 629-9889
Mailing address
4610 BRAINERD ROAD, CHATTANOOGA, TN 37411
(423) 622-4173
(423) 629-9889
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS2208
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015519
BC/BS
TN
05
—
0016229
—
TN
01
—
549311
UNITED CONCORDIA
—
Enumeration date
10/06/2006
Last updated
08/22/2020
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