Charles D Calhoon, DDS
Individual provider Active NPI General Practice Dentistry · Wilmington, DE
NPI 1851444293 · NPPES record last updated Aug 5, 2010
Key facts
- NPI
- 1851444293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 001054 (DE)
- Practice address
- 4600 New Linden Hill Rd
102
Wilmington, DE 19808-2953 - Phone
- (302) 731-0202
- Fax
- (302) 998-2299
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| I20160201000987 | DE | Order and Referring Only - Other (Physician) |
9638473358 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001054 | DE | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles D. Calhoon DDS PA | General Practice | Past | Accepting new patients |
| Brian M. Calhoon, D.D.S., P.a. | General Practice | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 001054 | DE | Yes |
Addresses
Primary practice location
4600 New Linden Hill Rd
102
Wilmington, DE 19808-2953
Mailing address
4600 New Linden Hill Rd
102
Wilmington, DE 19808-2953
Phone (302) 731-0202
Other providers in Wilmington, DE
- Carla Denine Cain
- Judy Cain
- Khabeera Calaman
- Sarah Jessica Calardo
- Brian Matthew Calhoon
- Katherine Callaghan
- April Callahan
- Brian Patrick Callahan
- Callaway Franceschini LLC
- Andrea Marikka Calvarese
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 Aug 5, 2010. 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.