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NPI Code Detail

MEDICARE: JAMES A CALLAWAY

MEDICARE: JAMES A CALLAWAY
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
11223G0001XGeneral Practice DentistryNEV727NV

General Provider Information

NPI Number : 1386738292
Entity Type Code : Organization
Provider Name (Legal Business Name) : JAMES A CALLAWAY
Provider Business Mailing Address
First Line : 6150 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3052
Country : US
Telephone Number : 702-871-7908
Fax Number : 702-871-1379
Provider Business Practice Location Address
First Line : 6150 W SAHARA AVE
Second Line :
City : LAS VEGAS
State : NV
Zip : 89146-3052
Country : US
Telephone Number : 702-871-7908
Fax Number : 702-871-1379
Authorized Official
Title or Position : DENTIST
Name : DR. JAMES A CALLAWAY
Credential : D.D.S
Telephone Number : 702-871-7908
Provider Enumeration Date : 10/03/2006
Last Update Date : 08/22/2020

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Directions to “JAMES A CALLAWAY ” Practice Location

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