Organization
JEFFREY S CALDWELL DMD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S CALDWELL DMD (PRESIDENT DENTIST)
(330) 385-9496
Entity
Organization
Contact information
Practice address
212 E 5TH ST, EAST LIVERPOOL, OH 43920-3132
(330) 385-9496
(330) 385-2848
Mailing address
212 E 5TH ST, EAST LIVERPOOL, OH 43920-3132
(330) 385-9496
(330) 385-2848
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20618
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY NUMBER
—
05
—
2435341
—
OH
01
—
977031
UNITED CONCORDIA INSUR
—
Enumeration date
06/19/2006
Last updated
08/22/2020
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