Individual provider · Type 1 NPI

Douglas Charles Kallis, DMD

Orthodontics and Dentofacial Orthopedics Dentistry · Griffin, GA

NPI number 1871693374 Active

Practice location

218 Addavale St
Griffin, GA 30224-4217

Fax (770) 228-5262

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X10851 (GA)

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 1871693374

Douglas Charles Kallis, DMD's National Provider Identifier is 1871693374, issued on Sep 24, 2006. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Griffin, GA. The record was last updated on Jul 8, 2007.