Robert Edward Caldwell, D.D.S.

Individual provider Active NPI General Practice Dentistry · Millington, TN

NPI 1326014689 · NPPES record last updated Aug 4, 2008

Key facts

NPI
1326014689
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
3163 (TN)
Practice address
8232 US Highway 51 N
Millington, TN 38053-1708
Phone
(901) 872-7179
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3163TNMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Robert E. Caldwell D.D.S. P.C. Past Accepting new patients
Hometown Smiles, PLLC Past
since Sep 23, 2021
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 3163 TN Yes

Addresses

Primary practice location

8232 US Highway 51 N
Millington, TN 38053-1708

Mailing address

8232 Highway 51 North
Millington, TN 38053-9128
Phone (901) 872-7179

Other identifiers

IdentifierTypeStateIssuer
014685MedicaidTN

Other providers in Millington, TN

All providers in Millington, TN · General Practice Dentistry in Tennessee

Sources for this page

Verify at the official NPI Registry.