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Deactivated NPI 1962043901 Deactivated / Inactive NPI Male Practitioner

Dr. William C Callaway , DMD

Dentist - General Practice • Athens, GA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Callaway has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 01, 2019
NPI Deactivation Date August 30, 2023
Total Practice Duration ~4 Years of Practice (2019 – 2023)

Professional Overview & Biography Verified Profile Summary

Dr. William Callaway, DMD was a registered Dentist - General Practice practicing in Athens, GA. Throughout an active medical career spanning 4 years, Dr. Callaway provided care at the practice location at 1805 EPPS BRIDGE PKWY STE 101 until profile deactivation on 2023-08-30.

Practice Location & Contact Primary Location

Practice Address

1805 Epps Bridge Pkwy Ste 101

Athens, GA 306066127

Telephone 7065490108

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Athens, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 22.8 Yrs
Regional Practice Density
48 Specialists

Practicing in Athens, GA (3302 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License GA DN015959

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Karan Thakkar

Dentist - General Practice

NPI 1417634494
NPI 1578291001
NPI 1740029982

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
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NPI Profile Deactivated August 30, 2023

Record deactivated on August 30, 2023

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Updated Practice Location May 10, 2022

Registered at 855 SUNSET DR STE 10, ATHENS, GA 306062273 (Tel: 7065491370)

NPI Profile Active October 01, 2019

NPI status registered as active in NPPES database

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Updated Practice Location October 01, 2019

Registered at 1805 EPPS BRIDGE PKWY STE 101, ATHENS, GA 306066127 (Tel: 7065490108)

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Updated Business Mailing Address October 01, 2019

Registered at 2050 KEENELAND DR, BOGART, GA 306225917 (Tel: 7063470090)

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Provider Name / Credentials Updated October 01, 2019

Recorded as WILLIAM CALLAWAY, DMD

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Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2019

Dentist (License #DN015959 in GA)

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Initial NPI Registration & Enumeration October 01, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1962043901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2019
Last Update: October 01, 2019
Deactivation Date: August 30, 2023

Mailing Address

2050 Keeneland Dr

Bogart, GA 306225917

Phone: 7063470090

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.