CALLAWAY FAMILY DENTAL LLC
NPI 1699484840
Clinic/Center - Dental in Fulton, MO

Active since November 16, 2022
2424 N BLUFF ST, FULTON, MO 65251(573) 642-6904 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Callaway Family Dental Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALLAWAY FAMILY DENTAL LLC (NPI 1699484840) is a healthcare organization registered as a dental in Fulton, Missouri and active in the NPI registry since November 2022. The organization lists Alex Madov, Member, as its authorized official.

NPPES Registry Identity

NPI1699484840
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameCALLAWAY FAMILY DENTAL LLC
Location Address2424 N BLUFF STFulton, MO 65251-2709
Mailing Address2424 N Bluff StFulton, MO 65251-2709 · (573) 642-6904
Organization SubpartNo
Authorized OfficialAlex MadovMember · (402) 850-9285
Enumeration DateNovember 16, 2022
NPPES CertifiedNovember 16, 2022
NPI 1699484840 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
2424 N BLUFF ST, Fulton, MO 65251

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
2424 N BLUFF ST
FULTON, MO 65251
Dentist
2424 N BLUFF ST
FULTON, MO 65251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Callaway Family Dental LLC's NPI number?

The NPI number for Callaway Family Dental LLC is 1699484840. It was assigned to this organization in the NPPES registry on November 16, 2022.

Where is Callaway Family Dental LLC located?

Callaway Family Dental LLC is located at 2424 N Bluff St, Fulton, MO 65251. The listed phone number is (573) 642-6904.

What is Callaway Family Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Callaway Family Dental LLC was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.