Provider Demographics
NPI:1184848053
Name:CALDON, WILLIAM P (DMD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:P
Last Name:CALDON
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:18 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PLATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:12901-6932
Mailing Address - Country:US
Mailing Address - Phone:518-561-8566
Mailing Address - Fax:518-563-8623
Practice Address - Street 1:675 ROUTE 3
Practice Address - Street 2:SUITE 201
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12901-6562
Practice Address - Country:US
Practice Address - Phone:518-563-8622
Practice Address - Fax:518-563-8623
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2012-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0450061223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice