Provider Demographics
NPI:1942551544
Name:JOHN MCALLISTER, DDS, PA
Entity Type:Organization
Organization Name:JOHN MCALLISTER, DDS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:SHUFORD
Authorized Official - Last Name:MCALLISTER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:828-322-6731
Mailing Address - Street 1:1235 4TH STREET DR NW
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28601-3646
Mailing Address - Country:US
Mailing Address - Phone:828-322-6731
Mailing Address - Fax:828-267-2525
Practice Address - Street 1:1235 4TH STREET DR NW
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28601-3646
Practice Address - Country:US
Practice Address - Phone:828-322-6731
Practice Address - Fax:828-267-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-24
Last Update Date:2018-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC83911223G0001X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty