| Caldwell Family Dentistry | |
|
8232 Us Highway 51 N Millington TN 38053-1708 | |
| (901) 872-7179 | |
| Not Available |
| Full Name | Caldwell Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8232 Us Highway 51 N, Millington, Tennessee |
| Authorized Official Name and Position | Robert E. Caldwell (OWNER/PRESIDENT) |
| Authorized Official Contact | 9018727179 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caldwell Family Dentistry 8232 Us Highway 51 N Millington TN 38053-1708 Ph: (901) 872-7179 | Caldwell Family Dentistry 8232 Us Highway 51 N Millington TN 38053-1708 Ph: (901) 872-7179 |
| NPI Number | 1609032143 |
|---|---|
| Provider Enumeration Date | 08/04/2008 |
| Last Update Date | 08/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609032143 | NPI | - | NPPES |
| 014685 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DS3163 (Tennessee) | Primary |
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