DR. CALDWELL'S DENTAL OFFICE NPI 1033370374

NPI Information

NPI: 1033370374
Provider Name: DR. CALDWELL'S DENTAL OFFICE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1756 5TH ST
CORALVILLE, IA
ZIP 52241
Phone: (319) 351-3675
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DR. CALDWELL'S DENTAL OFFICE is a dental clinic center in Coralville, IA. DR. CALDWELL'S DENTAL OFFICE NPI is 1033370374. The provider is registered as an organization entity type.

The provider's business location address is:

1756 5TH ST
CORALVILLE, IA
ZIP 52241-819
Phone: (319) 351-3675
Fax: (319) 351-3675

The provider's authorized official is Benita H. Caldwell .
The authorized official title is Dentist and has the following contact phone number (319) 351-3675.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 6/19/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	7108	IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	232058	OTHER	IOWA	DELTA DENTAL OF IOWA
2	23205	OTHER	IOWA	WELLMARK
3	0232058	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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