# JEFFREY J. CALDWELL, SR., D.D.S., P.A.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013014380
- **Authorized official:** JEFFREY J. CALDWELL SR. D.D.S. (PRESIDENT)
- **Authorized official phone:** (252) 792-1101

## Contact information

- **Practice address:** 405 S MCCASKEY RD STE C, WILLIAMSTON, NC 27892-2160
- **Practice address phone:** (252) 792-1101
- **Practice address fax:** (252) 792-1102
- **Mailing address:** 405 S MCCASKEY RD STE C, P. O. BOX 621, WILLIAMSTON, NC 27892-2160
- **Mailing address phone:** (252) 792-1101
- **Mailing address fax:** (252) 792-1102

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5898 | NC | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 8991301 | — | NC |