Organization
CALLAWAY ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
COOPER E CALLAWAY DMD MS (PRESIDENT)
(662) 615-4225
Entity
Organization
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
299197
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49117
UNITED CONCORDIA
—
Enumeration date
11/08/2006
Last updated
08/22/2020
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