| Coleton Caldwell Dds Llc | |
|
5571 Nw Barry Rd Kansas City MO 64154-1408 | |
| (316) 208-9061 | |
| Not Available |
| Full Name | Coleton Caldwell Dds Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5571 Nw Barry Rd, Kansas City, Missouri |
| Authorized Official Name and Position | Coleton Allen Caldwell (OWNER/DENTIST) |
| Authorized Official Contact | 3162089061 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleton Caldwell Dds Llc 5571 Nw Barry Rd Kansas City MO 64154-1408 Ph: (816) 587-0600 | Coleton Caldwell Dds Llc 5571 Nw Barry Rd Kansas City MO 64154-1408 Ph: (316) 208-9061 |
| NPI Number | 1235704289 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 12/10/2021 |
| Medicare PECOS PAC ID | 9739559261 |
|---|---|
| Medicare Enrollment ID | O20221228000664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235704289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Coleton A Caldwell |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477032845 PECOS PAC ID: 3274950332 Enrollment ID: I20230118001570 |
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