Dr Thomas Kallal, DDS is a
Dentist based in Baraga, Michigan. Dr Thomas Kallal is licensed to practice in Michigan (license number 2901012015) and his current practice location is
13924 Wadaga Rd, Baraga, Michigan. He can be reached at his office (for appointments etc.) via phone at
(906) 353-7070.
NPI number for Dr Thomas Kallal is 1750576690 and his current mailing address is N5027 Joe Corn Dr, Iron Mountain, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1750576690.
Healthcare Provider's Profile
| Full Name | Dr Thomas Kallal |
|---|
| Gender | Male |
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| Speciality | Dentist |
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| Location | 13924 Wadaga Rd, Baraga, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750576690
- Provider Enumeration Date: 09/13/2007
- Last Update Date: 09/13/2007
Medical Identifiers
Medical identifiers for Dr Thomas Kallal such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750576690 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 122300000X | Dentist | 2901012015 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Thomas Kallal is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Thomas Kallal, DDS
N5027 Joe Corn Dr,
Iron Mountain, MI 49801-9543
Ph: () - | Dr Thomas Kallal, DDS
13924 Wadaga Rd,
Baraga, MI 49908-9204
Ph: (906) 353-7070 |
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