Provider Demographics
NPI:1265649602
Name:MICHAEL CALHOUN DDS
Entity Type:Organization
Organization Name:MICHAEL CALHOUN DDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:WARREN
Authorized Official - Last Name:CALHOUN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:760-327-1325
Mailing Address - Street 1:189 S CIVIC DR
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-7215
Mailing Address - Country:US
Mailing Address - Phone:760-327-1325
Mailing Address - Fax:760-327-6616
Practice Address - Street 1:189 S CIVIC DR
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-7215
Practice Address - Country:US
Practice Address - Phone:760-327-1325
Practice Address - Fax:760-327-6616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34938261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental