Provider Demographics
NPI:1598573867
Name:BRIAN M. CALHOON, D.D.S., P.A.
Entity type:Organization
Organization Name:BRIAN M. CALHOON, D.D.S., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:CALHOON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:302-731-0202
Mailing Address - Street 1:4600 NEW LINDEN HILL RD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808
Mailing Address - Country:US
Mailing Address - Phone:302-731-0202
Mailing Address - Fax:302-482-1507
Practice Address - Street 1:4600 NEW LINDEN HILL RD.
Practice Address - Street 2:SUITE 102
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808
Practice Address - Country:US
Practice Address - Phone:302-731-0202
Practice Address - Fax:302-482-1507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty