Provider Demographics
NPI:1871107151
Name:DARROW, CALLIE FRANCINE (DDS)
Entity type:Individual
Prefix:
First Name:CALLIE
Middle Name:FRANCINE
Last Name:DARROW
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 GARFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:LADYSMITH
Mailing Address - State:WI
Mailing Address - Zip Code:54848-1271
Mailing Address - Country:US
Mailing Address - Phone:715-532-7054
Mailing Address - Fax:
Practice Address - Street 1:720 GARFIELD AVE
Practice Address - Street 2:
Practice Address - City:LADYSMITH
Practice Address - State:WI
Practice Address - Zip Code:54848-1271
Practice Address - Country:US
Practice Address - Phone:715-532-7054
Practice Address - Fax:715-428-2431
Is Sole Proprietor?:No
Enumeration Date:2020-09-03
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL019.032892122300000X
WI1002432-15122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist