Individual
DR. ALITA PELTIER CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
1500 S MAIN ST, FORT WORTH, TX 76104-4917
(817) 702-3000
Mailing address
820 MONROE AVE NW APT 203, GRAND RAPIDS, MI 49503-1418
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
41982
TX
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
2901600697
MI
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
41982
TX
Other
Enumeration date
03/21/2018
Last updated
12/17/2025
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