Individual
COOPER CALLAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MS
Contact information
Practice address
100 STARR AVE STE D, STARKVILLE, MS 39759
(662) 615-4225
(662) 615-4288
Mailing address
100 STARR AVE, STE D, STARKVILLE, MS 39759
(662) 615-4225
(662) 615-4288
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2991 97
MS
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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