Organization
CONCORD AND LEXINGTON ORAL SURGERY ASSOCIATES, LLC
Active
Other names
Cail, Caldwell Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY T. CALDWELL DMD, MD (PARTNER)
(781) 861-8855
Entity
Organization
Contact information
Practice address
150 BAKER AVENUE EXT STE 101, CONCORD, MA 01742-2199
(978) 369-2525
(978) 369-7425
Mailing address
150 BAKER AVENUE EXT STE 101, CONCORD, MA 01742-2199
(978) 369-2525
(978) 369-7425
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19992
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019992
TUFTS HEALTH PLAN
MA
01
—
16643
HARVARD PILGRIM
MA
01
—
19992
STATE LICENSE
MA
01
—
X08668
BLUE CROSS BLUE SHIELD
MA
Enumeration date
07/10/2006
Last updated
10/28/2024
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