Provider Demographics
NPI:1477756401
Name:CALLENDER, GALEN THORNTON (DDS)
Entity Type:Individual
Prefix:DR
First Name:GALEN
Middle Name:THORNTON
Last Name:CALLENDER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6169 S BALSAM WAY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80123-3062
Mailing Address - Country:US
Mailing Address - Phone:303-973-7771
Mailing Address - Fax:303-973-5616
Practice Address - Street 1:6169 S BALSAM WAY
Practice Address - Street 2:SUITE 380
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-3062
Practice Address - Country:US
Practice Address - Phone:303-973-7771
Practice Address - Fax:303-973-5616
Is Sole Proprietor?:No
Enumeration Date:2007-06-07
Last Update Date:2009-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1047971223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics