Caddell Family Dentistry, PLLC

Organization Active NPI General Practice Dentistry · Graham, TX

NPI 1992063218 · NPPES record last updated Nov 12, 2014

Key facts

NPI
1992063218
Entity type
Organization (NPI type 2)
Primary specialty
General Practice Dentistry 1223G0001X
License
22825 (TX)
Legal business name
CADDELL FAMILY DENTISTRY, PLLC
Practice address
501 Cliff Dr
Graham, TX 76450-3327
Phone
(940) 549-6092
Fax
(940) 549-3970
NPI assigned
Apr 24, 2012
Organization subpart
No

Authorized official

Name
Dr. Travis Glenn Caddell, D.D.S.
Title
Owner/Dentist
Phone
(940) 549-6092

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

501 Cliff Dr
Graham, TX 76450
Phone (940) 549-0372

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 22825 TX Yes
General Practice Dentistry
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
1223G0001X 12625 TX

Addresses

Primary practice location

501 Cliff Dr
Graham, TX 76450-3327

Mailing address

501 Cliff Dr
Graham, TX 76450-3327
Phone (940) 549-6092

Other names

  • Cliff Dental Clinic Doing business as

Other providers in Graham, TX

All providers in Graham, TX · General Practice Dentistry in Texas

Sources for this page

Verify at the official NPI Registry.