Individual provider · Type 1 NPI

John D. Callahan Jr., DDS, M.S.

Orthodontics and Dentofacial Orthopedics Dentistry · Fayetteville, NY

NPI number 1043347438 Active

Practice location

300 S Manlius St
Fayetteville, NY 13066-2041

Specialties and licenses

Taxonomy	Code	License
Orthodontics and Dentofacial Orthopedics Dentistry Primary	1223X0400X	0365091 (NY)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1043347438

John D. Callahan Jr., DDS, M.S.'s National Provider Identifier is 1043347438, issued on Feb 27, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fayetteville, NY. The record was last updated on Jul 8, 2007.