Individual
DR. RUSH-BAKER GAINES CALDWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
105 HALTON VILLAGE CIR, SUITE B, GREENVILLE, SC 29607-6833
(864) 335-0505
(864) 335-0508
Mailing address
105 HALTON VILLAGE CIR, SUITE B, GREENVILLE, SC 29607-6833
(864) 335-0505
(864) 335-0508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
4271
SC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
704
SC
Other
Enumeration date
03/27/2007
Last updated
11/13/2012
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