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NPI Code Detail

MEDICARE: STEVEN CALLAGHAN DMD

MEDICARE: STEVEN CALLAGHAN DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist052221NY
2122300000XDentist22DI02247101NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184668162
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVEN CALLAGHAN DMD
Provider Business Mailing Address
First Line : 101 SECOND ST
Second Line : OCEAN HEALTH INITIATIVES
City : LAKEWOOD
State : NJ
Zip : 08701
Country : US
Telephone Number : 732-363-6699
Fax Number :
Provider Business Practice Location Address
First Line : 6 HENRY ST
Second Line : HUDSON RIVER HEALTHCARE, INC.
City : BEACON
State : NY
Zip : 12508-3058
Country : US
Telephone Number : 845-831-3349
Fax Number : 845-831-0793
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 03/10/2023

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