Caldwell, Phillip Elwood
Caldwell, Phillip Elwood is an individual health care provider with primary practice located at 1367 Walter Reed Rd Ste 103 , Fayetteville NC 28304. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Caldwell, Phillip Elwood can be contacted via phone (910) 485-8749.Contact Information
Primary practice address
1367 Walter Reed Rd Ste 103
Fayetteville NC 28304
Phone: (910) 485-8749
Fax: (910) 485-8398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 3774 | North Carolina |
Profile Details
| NPI number | 1679587745 |
|---|---|
| LBN Legal business name | Caldwell, Phillip Elwood |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 23rd, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679587745 | NPPES |
| North Carolina | MEDICAID | 8991321 |
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