Provider Demographics
NPI:1427284363
Name:MCCARY, CHARLES PRESTON III (DDS)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:PRESTON
Last Name:MCCARY
Suffix:III
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 1:603 HWY 321 N.
Mailing Address - Street 2:
Mailing Address - City:LENOIR CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37771
Mailing Address - Country:US
Mailing Address - Phone:865-986-0842
Mailing Address - Fax:865-986-6459
Practice Address - Street 1:603 HWY 321 N.
Practice Address - Street 2:
Practice Address - City:LENOIR CITY
Practice Address - State:TN
Practice Address - Zip Code:37771
Practice Address - Country:US
Practice Address - Phone:303-930-8828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-05
Last Update Date:2014-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO150581122300000X
TN9479122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist