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Callaway Family Dental LLC — NPI 1699484840, Fulton, MO | NPI Central

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NPI 1699484840

OrganizationActive

Callaway Family Dental LLC

NPI 1699484840 · Dental Clinic/Center · Fulton, MO

Provider details

NPI number: 1699484840
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Alex Madov, Member(402) 850-9285

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

2424 N Bluff St

Fulton, MO 65251-2709

Phone: (573) 642-6904

Approximate (ZIP-level) locationGet directions

More MO providers

Mailing address

2424 N Bluff St

Fulton, MO 65251-2709

Registry dates

Enumerated: 2022-11-16
Last updated: 2022-11-16
Certified: 2022-11-16

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.