| Dr. Caldwell's Dental Office | |
|
1756 5th St Coralville IA 52241-1819 | |
| (319) 351-3675 | |
| (319) 351-3675 |
| Full Name | Dr. Caldwell's Dental Office |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1756 5th St, Coralville, Iowa |
| Authorized Official Name and Position | Benita H. Caldwell (DENTIST) |
| Authorized Official Contact | 3193513675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Caldwell's Dental Office 1756 5th St Coralville IA 52241-1819 Ph: (319) 351-3675 | Dr. Caldwell's Dental Office 1756 5th St Coralville IA 52241-1819 Ph: (319) 351-3675 |
| NPI Number | 1033370374 |
|---|---|
| Provider Enumeration Date | 06/19/2008 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033370374 | NPI | - | NPPES |
| 0232058 | Medicaid | IA | |
| 232058 | Other | IA | DELTA DENTAL OF IOWA |
| 23205 | Other | IA | WELLMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7108 (Iowa) | Primary |
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