Jana Craig Calhoun, DMD

Individual provider Active NPI General Practice Dentistry · Marianna, FL

NPI 1932390564 · NPPES record last updated Aug 8, 2007

Key facts

NPI
1932390564
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
DN13737 (FL)
Practice address
3053 Fourth St
Marianna, FL 32446
Phone
(850) 526-5265
Fax
(850) 482-1065
NPI assigned
Aug 8, 2007
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)
No

State licenses

LicenseStateTypeSpecialty
DN13737FLMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN13737 FL Yes

Addresses

Primary practice location

3053 Fourth St
Marianna, FL 32446

Mailing address

3053 Fourth St
Marianna, FL 32446
Phone (850) 526-5265

Other providers in Marianna, FL

All providers in Marianna, FL · General Practice Dentistry in Florida

Sources for this page

Verify at the official NPI Registry.