Provider Demographics
NPI:1922187913
Name:CAULEY, RICHARD CARTER (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:CARTER
Last Name:CAULEY
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:PO BOX 629
Mailing Address - Street 2:701 JOHNSON
Mailing Address - City:BIG SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:79721-0629
Mailing Address - Country:US
Mailing Address - Phone:432-267-4544
Mailing Address - Fax:432-267-4870
Practice Address - Street 1:701 JOHNSON
Practice Address - Street 2:
Practice Address - City:BIG SPRING
Practice Address - State:TX
Practice Address - Zip Code:79721-0629
Practice Address - Country:US
Practice Address - Phone:432-267-4544
Practice Address - Fax:432-267-4870
Is Sole Proprietor?:No
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX110591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice