Individual
JAMES CAUDILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1927 IRVIN COBB DR, SUITE 1, PADUCAH, KY 42420
(270) 442-6617
Mailing address
1927 IRVIN COBB DR, SUITE 1, PADUCAH, KY 42420
(270) 442-6617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5142
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60051422
—
KY
Enumeration date
01/03/2007
Last updated
02/12/2009
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