Steven Thomas Calderwood, DDS
Individual provider Active NPI Dentist · Fallon, NV
NPI 1801449160 · NPPES record last updated Jul 16, 2019
Key facts
- NPI
- 1801449160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 7255 (NV)
- Practice address
- 1241 S Taylor St
Fallon, NV 89406-5804 - Phone
- (775) 423-7400
- NPI assigned
- Jul 16, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7255 | NV | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| George O. Henderson DDS LTD Dba the Dentists' Office | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 7255 | NV | Yes |
Addresses
Primary practice location
1241 S Taylor St
Fallon, NV 89406-5804
Mailing address
1241 S Taylor St
Fallon, NV 89406-5804
Phone (775) 423-7400
Other providers in Fallon, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.