Individual
DR. PHILLIP ELWOOD CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1367 WALTER REED RD STE 103, FAYETTEVILLE, NC 28304
(910) 485-8749
(910) 485-8398
Mailing address
1367 WALTER REED RD STE 103, FAYETTEVILLE, NC 28304-4445
(910) 485-8749
(910) 485-8398
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3774
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8991321
—
NC
Enumeration date
07/27/2006
Last updated
05/23/2018
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