Individual
DR. MICHAEL DENNIS CALLAHAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
550 3RD AVE, SUITE#1, KINGSTON, PA 18704-5806
(570) 288-9070
(570) 288-4201
Mailing address
550 3RD AVE, SUITE#1, KINGSTON, PA 18704-5806
(570) 288-9070
(570) 288-4201
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS023910L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051800
BLUE SHIELD MEDICAL
PA
01
—
072018
FURST PRIORITY HEALTH
PA
Enumeration date
02/14/2006
Last updated
07/08/2007
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