IndividualActive
Nicholas Callahan, MPH DMD MD
NPI 1083920227 · Oral & Maxillofacial Surgery (D.M.D.) · Chicago, IL
Provider details
- NPI number
- 1083920227
- Entity type
- Individual
- Primary specialty
- Oral & Maxillofacial Surgery (D.M.D.)Allopathic & Osteopathic Physicians
- Credential
- MPH DMD MD
- Sex
- Male
- Sole proprietor
- No
- License
- 019031599 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Dental Providers
Dental Providers
Dental Providers
Allopathic & Osteopathic Physicians
- Oral & Maxillofacial Surgery (D.M.D.)204E00000X
Practice location
801 S Paulina St
Chicago, IL 60612
Phone: (312) 413-2379
Fax: (312) 996-5987
Approximate (ZIP-level) locationGet directions
Mailing address
801 S Paulina St
Chicago, IL 60612-7210
Additional practice locations (1)
- 451 Clarkson AveDental ClinicBrooklyn, NY 11203-2054Phone: (718) 245-4914
Registry dates
- Enumerated
- 2010-08-25
- Last updated
- 2024-02-29
- Certified
- 2024-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.