Organization
MARK A. CADDELL D.D.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK ALAN CADDELL DDS (OWNER)
(781) 324-6200
Entity
Organization
Contact information
Practice address
388 PLEASANT ST, MALDEN, MA 02148-8143
(781) 324-6200
Mailing address
388 PLEASANT ST, MALDEN, MA 02148-8143
(781) 324-6200
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
20280
MA
1223G0001X
General Practice Dentistry
14164
MA
1223P0300X
Periodontics
Primary
19312
MA
Other
Enumeration date
05/18/2007
Last updated
09/11/2025
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