Caldwell, David M

Caldwell, David M is an individual health care provider with primary practice located at 2955 Harrison St Ste 103 , Beaumont TX 77702-1155. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Caldwell, David M can be contacted via phone (409) 923-1602.

Contact Information

Primary practice address
2955 Harrison St Ste 103 Beaumont TX 77702-1155
Phone: (409) 923-1602
Fax: (409) 923-1603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12803 Texas

Profile Details

NPI number 1962584029
LBN Legal business name Caldwell, David M
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated May 26th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962584029 NPPES
Texas MEDICAID 111308603

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