Donald Paul Callan in Little Rock - Periodontics

Donald Paul Callan - NPI 1336163542

Donald Paul Callan is a Periodontics in Little Rock, Arkansas. Donald Paul Callan practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Donald Paul Callan is 1336163542. The last update date is 2007-07-08.

Donald Paul Callan's current location address is 10319 W. Markham St., Little Rock, Arkansas. You can contact this provider via phone number 5012241122 and fax number 5012241990. The mailing address for Donald Paul Callan is 10319 W. Markham St., Little Rock, Arkansas. To know further, please read the information below!

Provider Profile Detail

Provider Name Donald Paul Callan
Address 10319 W. Markham St., Little Rock, Arkansas
Phone Number 5012241122
Fax Number 5012241990
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1336163542
Provider Enumeration Date 2006-07-27
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 10319 W. Markham St.
City Little Rock
State Arkansas (AR)
Post Code 722054556
Phone Number 5012241122
Fax Number 5012241990

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 2203
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
58556 AR BLUE CROSS BLUE SHIELD

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FAQs about Donald Paul Callan

What is the unique 10-digit identification code assigned to Donald Paul Callan by the Centers for Medicare & Medicaid Services?

The Donald Paul Callan has been issued the NPI (National Provider Identifier) 1336163542, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Donald Paul Callan's facilities are situated?

The facilities of Donald Paul Callan are physically located at the following address: 10319 W. Markham St., Little Rock, AR, 722054556.

What is Donald Paul Callan's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Donald Paul Callan is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.

On what date was the 1336163542 assigned to Donald Paul Callan?

The Donald Paul Callan was issued its 1336163542 on 2006-07-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information regarding Donald Paul Callan, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Donald Paul Callan, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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