Individual
DR. JORDAN MEREDITH CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1107 GLENWOOD DR, WEST MONROE, LA 71291-5503
(318) 340-1003
Mailing address
6937 MALLARD XING, BASTROP, LA 71220-7810
(318) 450-2941
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7303
LA
1223G0001X
General Practice Dentistry
7303
LA
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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