RON CALOSS DDS MD NPI 1932157500

NPI Information

NPI: 1932157500
Provider Name: RON CALOSS, DDS, MD
Classification: Dentist - 1223S0112X
Entity Type: Individual

Specialization: Oral and Maxillofacial Surgery

Organization: STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

PECOS Registration: Yes

Address:
250 N. STATE ST.
SCHOOL OF DENTISTRY
JACKSON, MS
ZIP 39216
Phone: (601) 984-6090
Get Directions

Ron Caloss, DDS, MD is an oral and maxillofacial surgery dentist in Jackson, MS with 25 years of experience. The provider is the specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. Ron Caloss, DDS, MD NPI is 1932157500. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year:1999

The provider's business location address is:

250 N. STATE ST.
SCHOOL OF DENTISTRY
JACKSON, MS
ZIP 39216
Phone: (601) 984-6090
Fax: (601) 984-4949

The NPI 1932157500 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 5/5/2006 and was last updated on 12/14/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		17892	TEXAS	No
2	1223S0112X	Dentist	Oral and Maxillofacial Surgery	OS41108	MISSISSIPPI	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	17730 3477-08,05411-	MISSISSIPPI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	165622501	MEDICAID	TENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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