Provider Demographics
NPI:1063854321
Name:CALDWELL, JAMES E (DDS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:E
Last Name:CALDWELL
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3721 CAMPFIRE RD
Mailing Address - Street 2:
Mailing Address - City:HARTSEL
Mailing Address - State:CO
Mailing Address - Zip Code:80449-8611
Mailing Address - Country:US
Mailing Address - Phone:196-482-5307
Mailing Address - Fax:
Practice Address - Street 1:548 FRONT STREET
Practice Address - Street 2:SUITE C
Practice Address - City:FAIRPLAY
Practice Address - State:CO
Practice Address - Zip Code:80440
Practice Address - Country:US
Practice Address - Phone:303-650-5800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-26
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1041641223D0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223D0001XDental ProvidersDentistDental Public Health