Provider Demographics
NPI:1790351682
Name:PRICE, CALEB FARNES (DDS)
Entity Type:Individual
Prefix:
First Name:CALEB
Middle Name:FARNES
Last Name:PRICE
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 1:4415 CITY CENTRE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:FIRESTONE
Mailing Address - State:CO
Mailing Address - Zip Code:80504-6613
Mailing Address - Country:US
Mailing Address - Phone:303-651-6347
Mailing Address - Fax:303-651-6247
Practice Address - Street 1:4415 CITY CENTRE DR STE 400
Practice Address - Street 2:
Practice Address - City:FIRESTONE
Practice Address - State:CO
Practice Address - Zip Code:80504-6613
Practice Address - Country:US
Practice Address - Phone:303-651-6347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-01
Last Update Date:2021-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODEN.002047231223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice