Organization
R BROOKS CALLIHAN DMD PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
R BROOKS CALLIHAN DMD (PRESIDENT)
(606) 473-6322
Entity
Organization
Contact information
Practice address
219 MAIN ST, GREENUP, KY 41144-1068
(606) 473-6322
(606) 473-0200
Mailing address
219 MAIN ST, GREENUP, KY 41144-1068
(606) 473-6322
(606) 473-0200
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
4699
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60046992
—
KY
Enumeration date
01/12/2012
Last updated
01/12/2012
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