Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GORDON MATHEW CALLISON, D.D.S.
Active Sole ProprietorDR. GORDON MATHEW CALLISON, D.D.S. is a Pediatric Dentistry healthcare provider located in CHICAGO, Illinois. NPI 1053412718 is currently active in the NPPES registry. Verify at CMS.
Pediatric Dentistry · CHICAGO, IL
Registration Details
- NPI Number
- 1053412718
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 26, 2006 (19.849322560148 yrs)
- Last Updated
- Jul 8, 2007
- Sole Proprietor
- Yes
Practice Information
- Address
-
820 S DAMEN AVEJESSE BROWN VAMC DENTAL SERVICECHICAGO, IL, 606123728Browse IL providers · Browse ZIP 60612
- Phone
- 3125696669
- Fax
- 3125698089
- Primary Specialty
-
Pediatric Dentistry
1223P0700X
Other Pediatric Dentistry Providers in CHICAGO, IL
| Name | Credential | NPI |
|---|---|---|
| GHASSAN ABBOUD I | — | 1508854910 |
| GRANT SIMS | — | 1780672121 |
| DR. GLENN WILLIAM BREDFELDT | D.D.S. | 1528172715 |
| DR. MARTIN ALAN HIRSCH | D.M.D. | 1003948555 |
| DR. LYNDON COOPER | DDS, MS, PHD | 1043335276 |
| RAND HARLOW | DDS | 1932321569 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.