Callie Francine Darrow, DDS
Individual provider Active NPI Dentist · Ladysmith, WI
NPI 1871107151 · NPPES record last updated May 12, 2022
Key facts
- NPI
- 1871107151
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 1002432-15 (WI)
- Practice address
- 720 Garfield Ave
Ladysmith, WI 54848-1271 - Phone
- (715) 532-7054
- Fax
- (715) 428-2431
- NPI assigned
- Sep 3, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019.032892 | IL | MD | Dentist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.032892 | IL | |
| Dentist | 122300000X | 1002432-15 | WI | Yes |
Addresses
Primary practice location
720 Garfield Ave
Ladysmith, WI 54848-1271
Mailing address
720 Garfield Ave
Ladysmith, WI 54848-1271
Phone (715) 532-7054
Other providers in Ladysmith, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2022. 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.