NPI 1366679706 · live from the CMS NPI Registry
Jarrett Caldwell, PharmD, DDS
Dentist, Pediatric Dentistry in Washington, DC. National Provider Identifier 1366679706, active.
NPI record
| NPI | 1366679706 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 2012 Hecht Ave Ne, Washington, DC 20002 |
| Practice phone | 202-669-6571 |
| Mailing address | 715 Ingraham St Nw, Washington, DC 20011 |
| Enumerated | June 12, 2009 |
| Last updated | August 10, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | DEN1001872 (DC) |
| Dentist, Pediatric Dentistry primary | 1223P0221X | DEN1001872 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.