Individual
DR. JONATHAN CLAYTON CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2119 25TH STREET, COLUMBUS, IN 47201
(812) 379-1341
(812) 379-1343
Mailing address
2119 25TH STREET, COLUMBUS, IN 47201
(812) 379-1341
(812) 379-1343
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010253A
IN
Other
Enumeration date
12/05/2006
Last updated
07/08/2007
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