Organization
CALDWELL DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE CALDWELL DDS (PRESIDENT)
(740) 676-2163
Entity
Organization
Contact information
Practice address
3052 BELMONT ST, BELLAIRE, OH 43906-1517
(740) 676-2163
Mailing address
3052 BELMONT ST, BELLAIRE, OH 43906-1517
(740) 676-2163
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
18200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2693750
—
OH
Enumeration date
03/24/2008
Last updated
09/13/2012
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