Organization
CALLAHAN AND BERGEY ASSOCIATES P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL DENNIS CALLAHAN D.D.S. (PRESIDENT)
(570) 288-9070
Entity
Organization
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
553121
BLUE SHIELD MEDICAL/DENTA
PA
Enumeration date
02/14/2006
Last updated
07/27/2010
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