NPI 1679109508 · live from the CMS NPI Registry
Brian Matthew Calhoon, DDS
Dentist, General Practice in Wilmington, DE. National Provider Identifier 1679109508, active.
NPI record
| NPI | 1679109508 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, General Practice 1223G0001X |
| Practice location | 4600 Linden Hill Rd Ste 102, Wilmington, DE 19808 |
| Practice phone | 302-731-0202 |
| Enumerated | March 23, 2020 |
| Last updated | July 6, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice primary | 1223G0001X | G1-0011490 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.