Brian Matthew Calhoon, DDS
Individual provider Active NPI General Practice Dentistry · Wilmington, DE
NPI 1679109508 · NPPES record last updated Jul 6, 2021
Key facts
- NPI
- 1679109508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- G1-0011490 (DE)
- Practice address
- 4600 Linden Hill Rd Ste 102
Wilmington, DE 19808-2906 - Phone
- (302) 731-0202
- NPI assigned
- Mar 23, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200707000326 | DE | Order and Referring Only - Dentist |
0042633224 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian M. Calhoon, D.D.S., P.a. | General Practice | Current |
Accepting new patients |
| Charles D. Calhoon DDS PA | General Practice | Past |
Accepting new patients |
Locations
4600 Linden Hill Rd
Ste 102
Wilmington, DE 19808
Phone (302) 731-0202
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | G1-0011490 | DE | Yes |
Addresses
Primary practice location
4600 Linden Hill Rd Ste 102
Wilmington, DE 19808-2906
Mailing address
4600 Linden Hill Rd Ste 102
Wilmington, DE 19808-2906
Phone (302) 731-0202
Other providers in Wilmington, DE
- Lisa Cahill-Bond
- Carla Denine Cain
- Judy Cain
- Khabeera Calaman
- Sarah Jessica Calardo
- Charles D Calhoon
- Katherine Callaghan
- April Callahan
- Brian Patrick Callahan
- Callaway Franceschini LLC
All providers in Wilmington, DE · General Practice Dentistry in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 6, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.