NPI: 1912077082 · STARKVILLE, MS 39759 · Orthodontics and Dentofacial Orthopedic Dentist · NPI assigned 11/08/2006
| Authorized Official | CALLAWAY, COOPER (PRESIDENT) |
| NPI Enumeration Date | 11/08/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 175 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| D8670 | Periodic orthodontic treatment visit | 175 | 24 | $0.00 |