Andria P Caldwell in Brewton - Dentist

Andria P Caldwell - NPI 1053389403

Andria P Caldwell is a Dentist in Brewton, Alabama. Andria P Caldwell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Andria P Caldwell is 1053389403. The last update date is 2015-12-31.

Andria P Caldwell's current location address is 1115 Azalea Place, Brewton, Alabama. You can contact this provider via phone number 2518093925 and fax number 2518096058. The mailing address for Andria P Caldwell is 1115 Azalea Place, Brewton, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Andria P Caldwell
Address 1115 Azalea Place, Brewton, Alabama
Phone Number 2518093925
Fax Number 2518096058
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1053389403
Provider Enumeration Date 2006-03-10
Last Updated Date 2015-12-31

Provider Mailing Address Detail

Address 1115 Azalea Place
City Brewton
State Alabama (AL)
Post Code 36426
Phone Number 2518093925
Fax Number 2518096058

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 4357
Definition:
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
631708021 AL --
51505815 BCBS

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FAQs about Andria P Caldwell

What is the unique 10-digit identifier code assigned to Andria P Caldwell by the Centers for Medicare & Medicaid Services?

The Andria P Caldwell has been issued the NPI (National Provider Identifier) 1053389403 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Andria P Caldwell's physical address?

The Andria P Caldwell is physically located at 1115 Azalea Place, in the city of Brewton, AL, with the postal code 36426.

What is Andria P Caldwell's specialized field of practice, and what is the corresponding taxonomy classification code?

The Andria P Caldwell's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1053389403 to Andria P Caldwell?

The Andria P Caldwell received its 1053389403 assignment from the Centers for Medicare & Medicaid Services on 2006-03-10.

As of what date was the information regarding Andria P Caldwell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Andria P Caldwell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-12-31.

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