Charles Edward Caldwell in Wilkes Barre - Periodontics
Charles Edward Caldwell - NPI 1982622205
Charles Edward Caldwell is a Periodontics in Wilkes Barre, Pennsylvania. Charles Edward Caldwell practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Charles Edward Caldwell is 1982622205. The last update date is 2007-07-08.
Charles Edward Caldwell's current location address is 1111 E End Blvd, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708217231 and fax number 5708195153. The mailing address for Charles Edward Caldwell is 1111 E End Blvd, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Edward Caldwell |
|---|---|
| Address | 1111 E End Blvd, Wilkes Barre, Pennsylvania |
| Phone Number | 5708217231 |
| Fax Number | 5708195153 |
| Sole Proprietor | N |
| Credentials | D.M.D, PH. |
NPI Number Detail
| NPI Number | 1982622205 |
|---|---|
| Provider Enumeration Date | 2006-07-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1111 E End Blvd |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187110030 |
| Phone Number | 5708217231 |
| Fax Number | 5708195153 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 6739 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code assigned to Charles Edward Caldwell by the Centers for Medicare & Medicaid Services?
The Charles Edward Caldwell has been issued the NPI (National Provider Identifier) 1982622205, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles Edward Caldwell located?
The Charles Edward Caldwell is located at 1111 E End Blvd, Wilkes Barre, PA 187110030.
What is Charles Edward Caldwell's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Charles Edward Caldwell is Periodontics, and the taxonomy code that categorizes this field of expertise is 1223P0300X.
On what date did the Charles Edward Caldwell receive the assignment of its 1982622205 from the Centers for Medicare & Medicaid Services?
The Charles Edward Caldwell was issued its 1982622205 by the Centers for Medicare & Medicaid Services on 2006-07-17.
As of what date was the information regarding Charles Edward Caldwell, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Edward Caldwell, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.