Provider Demographics
NPI:1851446694
Name:JAMES PATRICK CALEY DDS
Entity Type:Organization
Organization Name:JAMES PATRICK CALEY DDS
Other - Org Name:UNIVERSITY DENTAL GROUP
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:CALEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:909-798-5117
Mailing Address - Street 1:419 BROOKSIDE AVENUE
Mailing Address - Street 2:
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92373
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:419 BROOKSIDE AVE
Practice Address - Street 2:
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92373-4667
Practice Address - Country:US
Practice Address - Phone:909-798-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty