NPI 1073245551

Cory Callahan

Practitioner General Practice Dentistry Ellicott City, MD

Practice location

Address: 5126 Dorsey Hall Dr, Ellicott City, MD 21042-7887
Phone: (410) 740-9400
Mailing address: 1703 Willow Springs Dr, Sykesville, MD 21784-5601

Registered specialties

General Practice Dentistry Primary

Dental Providers Taxonomy 1223G0001X Licence 17532 (MD)

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Registry record

NPI: 1073245551
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jun 2022
Record last updated: 24 Jun 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.