Provider Demographics
NPI:1780034405
Name:CASWELL, JOHN FRANKLIN (RDH)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:FRANKLIN
Last Name:CASWELL
Suffix:
Gender:M
Credentials:RDH
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:US ARMY DENTAL ACTIVITY, BLDG 128 CHAFFEE ROAD
Mailing Address - Street 2:ATTN: DENTAC HEADQUARTERS
Mailing Address - City:FT BLISS
Mailing Address - State:TX
Mailing Address - Zip Code:79916
Mailing Address - Country:US
Mailing Address - Phone:915-742-6001
Mailing Address - Fax:915-742-7462
Practice Address - Street 1:US ARMY DENTAL ACTIVITY, BLDG 128 CHAFFEE ROAD
Practice Address - Street 2:ATTN: DENTAC HEADQUARTERS
Practice Address - City:FT BLISS
Practice Address - State:TX
Practice Address - Zip Code:79916
Practice Address - Country:US
Practice Address - Phone:915-742-6001
Practice Address - Fax:915-742-7462
Is Sole Proprietor?:No
Enumeration Date:2016-06-14
Last Update Date:2016-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124Q00000X124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist