Individual
DR. JENNIE LEA NICOLA CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3348
(352) 273-6695
(352) 294-5310
Mailing address
PO BOX 100414, GAINESVILLE, FL 32610-0414
(352) 273-6695
(352) 294-5310
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DDS105087
CA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
DTP841
FL
Other
Enumeration date
09/15/2020
Last updated
02/27/2025
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