James Francis McCallen III, D.D.S.
Individual provider Active NPI General Practice Dentistry · Tiptonville, TN
NPI 1073646709 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1073646709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- DS 3774 (TN)
- Practice address
- 960 State Route 212
Tiptonville, TN 38079-4037 - Phone
- (731) 253-5000
- Fax
- (731) 253-5190
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS 3774 | TN | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS 3774 | TN | Yes |
Addresses
Primary practice location
960 State Route 212
Tiptonville, TN 38079-4037
Mailing address
960 State Route 212
Tiptonville, TN 38079-4037
Phone (731) 253-5000
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3225837 | Medicaid | TN |
Other providers in Tiptonville, TN
- Fernando Cardenas Lagrimas
- Lake County Primary Care
- Main Street Family Care PLLC
- Valerie Cagle Makin
- John Mancell
- Erle Ridley Mulherin III
- National Assistance Bureau, Inc.
- Patricia Catherine Poteet
- Kortney Dewayne Powell
- Reelfoot Healthcare and Rehab LLC
All providers in Tiptonville, TN · General Practice Dentistry in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.