Provider Demographics
NPI:1003020934
Name:JON W CAULFIELD, DDS, PC
Entity Type:Organization
Organization Name:JON W CAULFIELD, DDS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:W
Authorized Official - Last Name:CAULFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:303-972-2224
Mailing Address - Street 1:7621 SHAFFER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-3012
Mailing Address - Country:US
Mailing Address - Phone:303-972-2224
Mailing Address - Fax:303-972-2303
Practice Address - Street 1:7621 SHAFFER PKWY STE A
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-3012
Practice Address - Country:US
Practice Address - Phone:303-972-2224
Practice Address - Fax:303-972-2303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty