MEDICARE: DR. ALLISE M. CALLOWAY DDS

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
1	1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	012709	GA

General Provider Information

NPI Number	:	1578541736
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLISE M. CALLOWAY DDS

Provider Business Mailing Address
First Line	:	4919 FLAT SHOALS PKWY
Second Line	:	SUITE 210
City	:	DECATUR
State	:	GA
Zip	:	30034-5258
Country	:	US
Telephone Number	:	678-418-3000
Fax Number	:	678-689-0371

Provider Business Practice Location Address
First Line	:	4919 FLAT SHOALS PKWY
Second Line	:	SUITE 210
City	:	DECATUR
State	:	GA
Zip	:	30034-5258
Country	:	US
Telephone Number	:	678-418-3000
Fax Number	:	678-689-0371

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1669328969 — ADRIEONNA ASHER PSYD
Practice Location Address:

3073 PANTHERSVILLE RD
DECATUR, GA
30034-3800

Practice Phone: 404-243-2100
Practice Fax:

1356298186 — XPRESS ONE LABS- GEORGIA LLC
Practice Location Address:

3009 RAINBOW DR STE 303
DECATUR, GA
30034-1819

Practice Phone: 888-243-3926
Practice Fax: 888-243-3926

1326036021 — LAUREL BAYE HEALTHCARE OF DECATUR, LLC
Practice Location Address:

3200 PANTHERSVILLE RD
DECATUR, GA
30034-3831

Practice Phone: 404-212-3400
Practice Fax:

1841270998 — GARY A. DEBACHER MD
Practice Location Address:

3073 PANTHERSVILLE RD
DECATUR, GA
30034-3828

Practice Phone: 404-212-5454
Practice Fax: 404-243-2159

1093795791 — ADRIANA LORENA FLORES PH D
Practice Location Address:

3073 PANTHERSVILLE RD
DECATUR, GA
30034-3828

Practice Phone: 404-212-5454
Practice Fax: 404-243-2159

1528048220 — RAMA GANGAIAH MD
Practice Location Address:

3073 PANTHERSVILLE RD
DECATUR, GA
30034-3828

Practice Phone: 404-212-5454
Practice Fax: 404-243-2159

Directions to “ DR. ALLISE M. CALLOWAY DDS” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.