Individual
DAVID J CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
102 E PINEVIEW DR., FLOWOOD, MS 39232
(601) 992-1285
(601) 992-6526
Mailing address
102 E PINEVIEW DR., FLOWOOD, MS 39232
(601) 992-1285
(601) 992-6526
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2464-89
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09483011
—
MS
Enumeration date
04/17/2007
Last updated
10/08/2014
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