Phillip Elwood Caldwell in Fayetteville - Pediatric Dentistry
Phillip Elwood Caldwell - NPI 1679587745
Phillip Elwood Caldwell is a Pediatric Dentistry in Fayetteville, North Carolina. Phillip Elwood Caldwell practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Phillip Elwood Caldwell is 1679587745. The last update date is 2018-05-23.
Phillip Elwood Caldwell's current location address is 1367 Walter Reed Rd Ste 103, Fayetteville, North Carolina. You can contact this provider via phone number 9104858749 and fax number 9104858398. The mailing address for Phillip Elwood Caldwell is 1367 Walter Reed Rd Ste 103, Fayetteville, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Elwood Caldwell |
|---|---|
| Address | 1367 Walter Reed Rd Ste 103, Fayetteville, North Carolina |
| Phone Number | 9104858749 |
| Fax Number | 9104858398 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1679587745 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2018-05-23 |
Provider Mailing Address Detail
| Address | 1367 Walter Reed Rd Ste 103 |
|---|---|
| City | Fayetteville |
| State | North Carolina (NC) |
| Post Code | 283044445 |
| Phone Number | 9104858749 |
| Fax Number | 9104858398 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3774 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8991321 | NC | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Phillip Elwood Caldwell by the Centers for Medicare & Medicaid Services?
The Phillip Elwood Caldwell has been issued the NPI (National Provider Identifier) 1679587745. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Phillip Elwood Caldwell is geographically located?
The Phillip Elwood Caldwell is physically situated at the following location: 1367 Walter Reed Rd Ste 103, Fayetteville, NC, 283044445.
What is the area of specialization for Phillip Elwood Caldwell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Phillip Elwood Caldwell is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1679587745 to Phillip Elwood Caldwell?
The Centers for Medicare & Medicaid Services originally issued the 1679587745 to Phillip Elwood Caldwell on 2006-07-27.
As of what date were the details pertaining to Phillip Elwood Caldwell last refreshed?
The information related to the Phillip Elwood Caldwell, including its address, specialty, and other relevant details, was last updated on 2018-05-23.