# CHARLES CALDER DDS MD PC

> 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
- **Other names:** Canyon Ridge Oral and Maxillofacial Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649479940
- **Authorized official:** DR. CHARLES T CALDER JR. MD DDS (PRESIDENT)
- **Authorized official phone:** (702) 655-8400

## Contact information

- **Practice address:** 6140 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-6702
- **Practice address phone:** (702) 655-8400
- **Practice address fax:** (702) 255-8409
- **Mailing address:** 6140 S FORT APACHE RD, SUITE 120, LAS VEGAS, NV 89148-6702
- **Mailing address phone:** (702) 655-8400
- **Mailing address fax:** (702) 255-8409

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | S2-53 | NV | Yes |

## Other

- **Enumeration date:** 07/16/2007
- **Last updated:** 07/16/2007