NPI 1891847968 · live from the CMS NPI Registry
Mccallum Orthodontics PA
Dentist, Orthodontics and Dentofacial Orthopedics in Greenwood, SC. National Provider Identifier 1891847968, active.
NPI record
| NPI | 1891847968 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 608 Calhoun Ave, Greenwood, SC 29649 |
| Practice phone | 864-229-1611 |
| Enumerated | January 17, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Ernest Mccallum, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | SC Ortho 448 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.