Provider Demographics
NPI:1013032903
Name:CALLAHAN, CHERYL F (DDS)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:F
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
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Mailing Address - Street 1:15225 SHADY GROVE ROAD
Mailing Address - Street 2:STE 301
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:301-948-1212
Mailing Address - Fax:301-840-1722
Practice Address - Street 1:15225 SHADY GROVE ROAD
Practice Address - Street 2:STE 301 CHERYL F CALLAHAN DDS PA
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850
Practice Address - Country:US
Practice Address - Phone:301-948-1212
Practice Address - Fax:301-840-1722
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2019-03-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD09753122300000X
MD9753332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies