Individual
JOHN CAULDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3533 N SHILOH DR STE 3, FAYETTEVILLE, AR 72703-5317
(479) 442-3411
(479) 442-3901
Mailing address
3782 N FRONT ST STE 1, FAYETTEVILLE, AR 72703-5906
(479) 443-1705
(479) 443-1586
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3984
AR
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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