Individual
DR. DEWAYNE B MCCAMISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S., P.C.
Contact information
Practice address
4610 BRAINERD RD, SUITE 3, CHATTANOOGA, TN 37411-3835
(423) 624-6425
(423) 629-9889
Mailing address
4610 BRAINERD RD, SUITE 3, CHATTANOOGA, TN 37411-3835
(423) 624-6425
(423) 629-9889
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
TN102208
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016229
—
TN
Enumeration date
11/23/2005
Last updated
07/09/2007
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