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Organization
JEFFREY J. CALDWELL, SR., D.D.S., P.A.
Active
Organization
JEFFREY J. CALDWELL, SR., D.D.S., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY J. CALDWELL SR. D.D.S. (PRESIDENT)
(252) 792-1101
Entity
Organization
Contact information
Practice address
405 S MCCASKEY RD STE C, WILLIAMSTON, NC 27892-2160
(252) 792-1101
(252) 792-1102
Mailing address
405 S MCCASKEY RD STE C, P. O. BOX 621, WILLIAMSTON, NC 27892-2160
(252) 792-1101
(252) 792-1102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5898
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991301
—
NC
Enumeration date
09/20/2006
Last updated
08/22/2020
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