OrganizationActive
Callaway Family Dental LLC
NPI 1699484840 · Dental Clinic/Center · Fulton, MO
Callaway Family Dental LLC is a Dental Clinic/Center organization in Fulton, MO (NPI 1699484840).
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
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2424 N Bluff St
Fulton, MO 65251-2709
Phone: (573) 642-6904
Street-level locationGet directions
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
Frequently asked questions
- What is Callaway Family Dental LLC's NPI number?
- Callaway Family Dental LLC's National Provider Identifier (NPI) is 1699484840, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Callaway Family Dental LLC?
- Callaway Family Dental LLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Callaway Family Dental LLC located?
- Callaway Family Dental LLC's practice location on file with NPPES is 2424 N Bluff St, Fulton, MO 65251-2709.
- What is Callaway Family Dental LLC's phone number?
- The practice phone number listed in the NPPES registry for Callaway Family Dental LLC is (573) 642-6904.
- Who is the authorized official for Callaway Family Dental LLC?
- The authorized official listed on Callaway Family Dental LLC's NPPES record is Alex Madov, Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Callaway Family Dental LLC's NPI active?
- Yes — Callaway Family Dental LLC's NPI (1699484840) is active in the NPPES registry as of the last update on 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.