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General NPI Number Information
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NPI Number | 1700445889
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Entity Type | Organization
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Legal Business Name | LAUREN F. CALLISON, DMD, LLC
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 1133 N JEFFERIES BLVD
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City | WALTERBORO
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State | SC
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Zip | 29488-2729
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Country | US
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Telephone | 843-549-5584
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Fax |
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Provider Business Mailing Address
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Address Line | 402 LAKEVIEW DR
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City | SUMMERVILLE
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State | SC
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Zip | 29485-8328
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Country | US
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Telephone | 843-532-7329
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Fax |
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Authorized Official
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Title or Position | OWNER/DENTIST
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Name | DR. LAUREN FORSTER CALLISON
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Credential | DMD
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Telephone | 843-532-7329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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