Provider Demographics
NPI:1245206374
Name:CAULFIELD, JON W (DDS)
Entity Type:Individual
Prefix:DR
First Name:JON
Middle Name:W
Last Name:CAULFIELD
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 1:7621 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
Is Sole Proprietor?:No
Enumeration Date:2006-02-28
Last Update Date:2012-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO81471223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice