# JAY B. CALDWELL D.D.S.

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

## Provider details

- **NPI number:** 1033379052
- **Authorized official:** DR. JAY B. CALDWELL DDS (PRESIDENT)
- **Authorized official phone:** (719) 574-3240

## Contact information

- **Practice address:** 1711 N MURRAY BLVD, STE A, COLORADO SPRINGS, CO 80915-1334
- **Practice address phone:** (719) 574-3240
- **Practice address fax:** (719) 638-1130
- **Mailing address:** 1711 N MURRAY BLVD, STE A, COLORADO SPRINGS, CO 80915-1334
- **Mailing address phone:** (719) 574-3240
- **Mailing address fax:** (719) 638-1130

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 105653 | CO | Yes |

## Other

- **Enumeration date:** 06/12/2008
- **Last updated:** 06/12/2008