Callahan, Michael Dennis

Callahan, Michael Dennis is an individual health care provider with primary practice located at 550 3Rd Ave Suite#1, Kingston PA 18704-5806. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Callahan, Michael Dennis can be contacted via phone (570) 288-9070.

Contact Information

Primary practice address
550 3Rd Ave Suite#1 Kingston PA 18704-5806
Fax: (570) 288-4201
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DS023910L Pennsylvania

Profile Details

NPI number 1649244906
LBN Legal business name Callahan, Michael Dennis
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649244906 NPPES
Pennsylvania Other 051800 BLUE SHIELD MEDICAL
Pennsylvania Other 072018 BLUE SHIELD MEDICAL

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