Individual
DR. RALPH A CALLENDER III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
35230
CA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR-6084-25
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10017-25
DENTAL BOARD OF MISSISSIPPI
MS
05
—
B35230
—
CA
05
—
D35230
—
CA
01
—
OR-6084-25
ORTHODONTIC SPECIALTY LICENSE
MS
Enumeration date
04/03/2007
Last updated
07/28/2025
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