CLINTON CALLAHAN, DMD, PC (NPI# 1609224195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609224195 |
| Entity Type | Organization |
| Organization Name | CLINTON CALLAHAN, DMD, PC |
| Practice Address |
6475 Wall St Suite 150 Colorado Springs CO 80918-8337 |
| Practice Telephone | 7192659600 |
| Practice Fax Number | 7192659899 |
| Mailing Telephone | 7192659600 |
| Mailing Fax Number | 7192659899 |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2016-05-25 |
| Authorized Official Name | DR. CLINTON CALLAHAN (OWNER) |
| Authorized Official Telephone | 7192659600 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
8468 | CO | Dental Providers |
| Street Address |
6475 WALL ST SUITE 150 |
| City | COLORADO SPRINGS |
| State | CO |
| Zip Code | 80918-8337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649571001 | Academy Laser Dentistry PC | Dentist | 6475 Wall St, Suite 201, Colorado Springs, CO 80918-8337 | 2010-11-16 |
| 1578995809 | Jordan Cameron | Podiatrist | 6475 Wall St, Colorado Springs, CO 80918-8337 | 2013-08-09 |
| 1578905451 | Hearing Rehabilitation Center Inc | Audiologist | 6475 Wall St, Suite 203, Colorado Springs, CO 80918-8337 | 2013-07-22 |
| 1134460017 | Carol Jean Bennett | Dietitian, Registered | 6475 Wall St, Suite 202, Colorado Springs, CO 80918-8337 | 2013-03-02 |
| 1942563572 | Katherine Marie Williams | Audiologist | 6475 Wall St, Ste 203, Colorado Springs, CO 80918-8337 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952917056 | Uch-mhs | Clinic/Center | 5818 North Nevada, Suite 200, Colorado Springs, CO 80918 | 2020-09-23 |
| 1376159681 | Uchealth Imaging Services LLC | Clinic/Center | 5818 N. Nevada, Suite 100, Colorado Springs, CO 80918 | 2020-09-22 |
| 1699389353 | Poudre Valley Medical Group, LLC | Internal Medicine | 5818 N Nevada Ave, Suite 225, Colorado Springs, CO 80918 | 2020-09-01 |
| 1134732209 | Poudre Valley Medical Group, LLC | Physical Medicine & Rehabilitation | 5818 N Nevada Avenue, Suite 225, Colorado Springs, CO 80918 | 2020-08-28 |
| 1821619321 | Kayla Sanchez | Behavior Technician | Keystone Achievements, 5526 N. Academy Blvd, Colorado Springs, CO 80918 | 2020-05-06 |
| 1548801418 | Kelly Cottos | Chiropractor | 7075 Lexington Drive, Colorado Springs, CA 80918 | 2019-10-02 |
| 1568016038 | Overcomers Counseling | Counselor | 5585 Erindale Dr., Colorado Springs, CO 80918 | 2019-08-01 |
| 1457915522 | Joanne Beth Kuhn | Counselor | 6095 Kingdom View, Colorado Springs, CO 80918 | 2019-04-24 |
| 1780140210 | Megan Kennedy | Chiropractor | 6210 Lehman Drive Suite 100, Colorado Springs, CO 80918 | 2019-02-20 |
| 1871069864 | Jennifer Potage | Counselor | 6035 Erin Park Dr. Suite 102, Colorado Springs, CO 80918 | 2018-10-17 |
| Find all providers in zip 80918 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578181103 | Stettler Kr Broadmoor Pllc | Dentist | 4515 Broadmoor Bluffs Dr, Colorado Springs, CO 80906-8647 | 2020-07-09 |
| 1215432141 | Dan Duy Hoang | Dentist | 660 Southpointe Ct Ste 100, Colorado Springs, CO 80906-3806 | 2018-03-23 |
| 1275844607 | Corban R. Stettler | Dentist | 5430 E Woodmen Rd, Colorado Springs, CO 80920-8067 | 2010-06-30 |
| 1578725743 | Cheyenne Mountain Children's Dentistry PC | Dentist | 6514 S Academy Blvd, Colorado Springs, CO 80906-8614 | 2008-06-30 |
| 1346467206 | Joshua Erickson | Dentist | 8580 Scarborough Dr Ste 220, Colorado Springs, CO 80920-7583 | 2007-04-19 |
| 1154488575 | Jeffrey Allen Kahl | Dentist | 9480 Briar Village Pointe Suite 320, Colorado Springs, CO 80920 | 2007-01-03 |
| 1063598720 | Michelle Lee Haman | Dentist | 6725 Rangewood Dr, Colorado Springs, CO 80918-7300 | 2006-10-27 |
| 1245331552 | Clinton T. Callahan | Dentist | 13335 Voyager Pkwy Ste 100, Colorado Springs, CO 80921 | 2006-09-26 |
| 1427154418 | Michael J Purcell | Dentist | 12225 Voyager Pkwy Ste 6, Colorado Springs, CO 80921-3754 | 2006-09-16 |
| 1669464632 | Edward A Souza | Dentist | 3466 Briargate Blvd, Colorado Springs, CO 80920-4168 | 2005-08-16 |
| Find all providers in COLORADO SPRINGS | ||||
| City | COLORADO SPRINGS |
| Zip Code | 80918 |
Please comment or provide details below to improve the information on CLINTON CALLAHAN, DMD, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.