Provider Demographics
NPI:1508616293
Name:MCINTIRE, CALLIE BETH (DDS)
Entity type:Individual
Prefix:DR
First Name:CALLIE
Middle Name:BETH
Last Name:MCINTIRE
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:CALLIE
Other - Middle Name:BETH
Other - Last Name:ELGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:375 US HIGHWAY 51 BYP W
Mailing Address - Street 2:
Mailing Address - City:DYERSBURG
Mailing Address - State:TN
Mailing Address - Zip Code:38024-1930
Mailing Address - Country:US
Mailing Address - Phone:731-445-5229
Mailing Address - Fax:
Practice Address - Street 1:375 US HIGHWAY 51 BYP W
Practice Address - Street 2:
Practice Address - City:DYERSBURG
Practice Address - State:TN
Practice Address - Zip Code:38024-1930
Practice Address - Country:US
Practice Address - Phone:731-445-5229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-25
Last Update Date:2025-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN12725122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist