Individual
MATTHEW S CALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1172 E 100 N, SUITE 6, PAYSON, UT 84651-1667
(801) 465-3691
(801) 465-3913
Mailing address
1172 E 100 N, SUITE 6, PAYSON, UT 84651-1667
(801) 465-3691
(801) 465-3913
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9035046
UT
Other
Enumeration date
06/30/2014
Last updated
06/30/2014
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