Individual
JOHN DAVID CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3105 KIRBY WHITTEN PARKWAY, BARTLETT, TN 38134
(901) 388-9883
(901) 384-9353
Mailing address
3105 KIRBY WHITTEN PARKWAY, BARTLETT, TN 38134
(901) 388-9883
(901) 384-9353
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS3458
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3087388
BLUE CROSS
TN
Enumeration date
09/07/2006
Last updated
07/08/2007
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