Provider Demographics
NPI:1538308184
Name:WILLIAM F. CALLERY DDS PLC
Entity Type:Organization
Organization Name:WILLIAM F. CALLERY DDS PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:CALLERY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:804-748-8677
Mailing Address - Street 1:PO BOX 3748
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-8469
Mailing Address - Country:US
Mailing Address - Phone:804-748-8677
Mailing Address - Fax:
Practice Address - Street 1:4516 W HUNDRED RD
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:VA
Practice Address - Zip Code:23831-1740
Practice Address - Country:US
Practice Address - Phone:804-748-8677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2009-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0401004988122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty