Provider Demographics
NPI:1134243918
Name:DRS. MCCALL, CURRENS, RALSTON & TOPOR
Entity type:Organization
Organization Name:DRS. MCCALL, CURRENS, RALSTON & TOPOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DOUGLAS
Authorized Official - Middle Name:H
Authorized Official - Last Name:MCCALL
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:502-895-0905
Mailing Address - Street 1:4001 KRESGE WAY STE 120
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40207-4640
Mailing Address - Country:US
Mailing Address - Phone:502-895-0905
Mailing Address - Fax:502-899-9326
Practice Address - Street 1:4001 KRESGE WAY STE 120
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4640
Practice Address - Country:US
Practice Address - Phone:502-895-0905
Practice Address - Fax:502-899-9326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3726OtherDENTAL LICENSE NUMBER
KY3740OtherDENTAL LICENSE NUMBER
KY4474OtherDENTAL LICENSE NUMBER
KY7412OtherDENTAL LICENSE NUMBER