Active NPIIndividual providerSole proprietor

Dr. Douglas S Callis, DMD

Dentist, General Practice in Madison, Connecticut

NPI Number1659437580
Practice location
515 Old Toll RD, Madison, CT 06443-1836
Fax
203-421-4159
Last updated
April 13, 2015

Douglas Steven Callis is a Dentist, General Practice based in Madison, CT. Douglas Steven Callis practices in Madison, CT and has the professional credentials of DMD. The NPI Number for Douglas Steven Callis is 1659437580 and holds a License No. 7791 (CT). The current practice location address for Douglas Steven Callis is 515 Old Toll RD, Madison, CT 06443-1836 and can be reached out via phone at 203-421-4100 and via fax at 203-421-4159.

Provider Profile Details

NPI Number
1659437580
Provider Name
Douglas Steven Callis
Credential
DMD
Provider Entity Type
Individual
Gender
Male
Address
515 Old Toll RD, Madison, CT 06443-1836
Phone Number
203-421-4100
Fax Number
203-421-4159
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Sole Proprietor
Yes
Provider Enumeration Date
December 28, 2006
Last Update Date
April 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
515 Old Toll RD
Madison, CT 06443-1836
Zip
06443-1836
Phone Number
203-421-4100
Fax Number
203-421-4159
Madison, CT 06443Get directions →

Provider Business Mailing Address Details

Address
515 Old Toll RD
Madison, CT 06443-1836
City
Madison
State
CT
Zip
06443-1836
Phone Number
203-421-4100
Fax Number
203-421-4159

License Information

License Number (1)
7791
License State (1)
CT
Taxonomy (1)
Dentist · 122300000X
License Number (2)
ct7791
License State (2)
CT
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Douglas S Callis, DMD?

The NPI number of Dr. Douglas S Callis, DMD is 1659437580. It was assigned on December 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Douglas S Callis, DMD?

Dr. Douglas S Callis, DMD is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in CT under license number 7791.

Where does Dr. Douglas S Callis, DMD practice?

The practice location is 515 Old Toll RD, Madison, CT 06443-1836. The office can be reached at 203-421-4100 (phone) or 203-421-4159 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659437580 directly on the NPPES registry website.

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