Douglas Charles Kallis in Griffin - Orthodontics And Dentofacial Orthopedics
Douglas Charles Kallis - NPI 1871693374
Douglas Charles Kallis is a Orthodontics And Dentofacial Orthopedics in Griffin, Georgia. Douglas Charles Kallis practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Douglas Charles Kallis is 1871693374. The last update date is 2007-07-08.
Douglas Charles Kallis's current location address is 218 Addavale St, Griffin, Georgia. You can contact this provider via phone number 7702271296 and fax number 7702285262. The mailing address for Douglas Charles Kallis is 218 Addavale St, Griffin, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Charles Kallis |
|---|---|
| Address | 218 Addavale St, Griffin, Georgia |
| Phone Number | 7702271296 |
| Fax Number | 7702285262 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1871693374 |
|---|---|
| Provider Enumeration Date | 2006-09-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 218 Addavale St |
|---|---|
| City | Griffin |
| State | Georgia (GA) |
| Post Code | 302244217 |
| Phone Number | 7702271296 |
| Fax Number | 7702285262 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 10851 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identifier code issued to Douglas Charles Kallis by the Centers for Medicare & Medicaid Services?
The Douglas Charles Kallis has been assigned the NPI (National Provider Identifier) 1871693374 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Douglas Charles Kallis?
The Douglas Charles Kallis is physically situated at 218 Addavale St, in the city of Griffin, state of GA, with the postal code 302244217.
What is Douglas Charles Kallis's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Douglas Charles Kallis's specialized field of practice is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this area of specialization is 1223X0400X.
When did Douglas Charles Kallis receive its 1871693374 assignment?
The Douglas Charles Kallis was assigned its 1871693374 on 2006-09-24, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Douglas Charles Kallis most recently updated or revised?
The details related to Douglas Charles Kallis, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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