Cooper Callaway, DMD MS
Individual provider Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Starkville, MS
NPI 1740353291 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740353291
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
- License
- 2991 97 (MS)
- Practice address
- 100 Starr Ave Ste D
Starkville, MS 39759 - Phone
- (662) 615-4225
- Fax
- (662) 615-4288
- NPI assigned
- Nov 15, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2991 97 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Callaway Orthodontics | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 2991 97 | MS | Yes |
Addresses
Primary practice location
100 Starr Ave Ste D
Starkville, MS 39759
Mailing address
100 Starr Ave
Ste D
Starkville, MS 39759
Phone (662) 615-4225
Other providers in Starkville, MS
- Kadie Carol Byrd
- Katherine Cagle-Holtcamp
- Amy Morgan Cain
- Robert John Cain
- Callaway Orthodontics
- Cardiology Associates of North Ms PA
- Caring Hands Transportation
- William C Carr Jr.
- Katrica Carter
- Kylan Garret Carter
All providers in Starkville, MS · Orthodontics and Dentofacial Orthopedics Dentistry in Mississippi
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.