Provider Demographics
NPI:1497828594
Name:DAMESEK, ELIZABETH CAMP (DDS)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:CAMP
Last Name:DAMESEK
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1618 E MOREHEAD ST
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1608
Mailing Address - Country:US
Mailing Address - Phone:704-377-8677
Mailing Address - Fax:704-377-1416
Practice Address - Street 1:1618 E MOREHEAD ST
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1608
Practice Address - Country:US
Practice Address - Phone:704-377-8677
Practice Address - Fax:704-377-1416
Is Sole Proprietor?:No
Enumeration Date:2006-11-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC69621223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice