Gordon Mathew Callison, D.D.S.

Prosthodontics · Chicago, IL

Individual Active NPI

NPI number 1053412718

Practice location

820 S Damen Ave
Jesse Brown Vamc Dental Service
Chicago, IL 60612-3728
Phone
(312) 569-6669
Fax
(312) 569-8089

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NPI record

NPI
1053412718
Entity type
Individual (Type 1)
Enumeration date
September 26, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthodontics Primary 1223P0700X — IL

Mailing address

438 S Ashland Ave
La Grange, IL 60525-6310
Phone
(708) 508-0437
Fax
(312) 569-8089

About Dr. Callison

Gordon Mathew Callison, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthodontics (code 1223P0700X). The practice location is 820 S Damen Ave, Jesse Brown Vamc Dental Service, Chicago, IL 60612-3728. The NPI number 1053412718 was assigned on September 26, 2006 and the record was last updated on July 8, 2007.

Frequently asked questions

What is the NPI number of Gordon Mathew Callison, D.D.S.?

The NPI number is 1053412718.

What is the phone number of Dr. Callison?

The phone number listed for the practice location is (312) 569-6669.

Where is Dr. Callison located?

820 S Damen Ave, Jesse Brown Vamc Dental Service, Chicago, IL 60612-3728.

What is the taxonomy code for Dr. Callison?

The primary taxonomy code is 1223P0700X – Prosthodontics.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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