| Dwayne B. Mccamish Dds Ms Pc | |
|
4610 Brainerd Road Chattanooga TN 37411 | |
| (423) 622-4173 | |
| (423) 629-9889 |
| Full Name | Dwayne B. Mccamish Dds Ms Pc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4610 Brainerd Road, Chattanooga, Tennessee |
| Authorized Official Name and Position | Dewayne B. Mccamish (PRESIDENT) |
| Authorized Official Contact | 4236224173 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dwayne B. Mccamish Dds Ms Pc 4610 Brainerd Road Chattanooga TN 37411 Ph: (423) 622-4173 | Dwayne B. Mccamish Dds Ms Pc 4610 Brainerd Road Chattanooga TN 37411 Ph: (423) 622-4173 |
| NPI Number | 1619064391 |
|---|---|
| Provider Enumeration Date | 10/06/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619064391 | NPI | - | NPPES |
| 0016229 | Medicaid | TN | |
| 549311 | Other | UNITED CONCORDIA | |
| 0015519 | Other | TN | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | DS2208 (Tennessee) | Primary |
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