DR. CHARLES EDWARD CALDWELL (NPI# 1982622205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982622205 |
| Entity Type | Individual |
| Full Name | DR. CHARLES EDWARD CALDWELL |
| Credential | D.M.D, PH.D, M.S,M.S |
| Practice Address |
1111 E End Blvd Va Medical Center, Dental Services Wilkes Barre PA 18711-0030 |
| Mailing Address |
Po Box 85 17 Wyndham Drive Cresco PA 18326-0085 |
| Practice Telephone | 5708217231 |
| Practice Fax Number | 5708195153 |
| Mailing Telephone | 5705614989 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
6739 | KY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982960688 | Charles Adren Caldwell Sr. | Counselor | 32118 32nd Ave Sw, Federal Way, WA 98023-2206 | 2012-04-06 |
| 1821119918 | Charles Caldwell | Dentist | 3875 Burton St Se, Grand Rapids, MI 49546-5816 | 2007-04-03 |
| 1346399300 | Charles Stephen Caldwell | Dentist | 9398 Viscount Blvd Ste 1a, El Paso, TX 79925-8028 | 2007-01-09 |
| 1023065406 | Charles W Caldwell | Pathology | 1013 Marcassin Dr, Columbia, MO 65201-7196 | 2006-05-30 |
| 1023017555 | Charles Gordon Caldwell | Orthopaedic Surgery | 514 E Bryan St, Savannah, GA 31401-2803 | 2005-07-18 |
| 1629398268 | Charles Brian Caldwell | Family Medicine | 110 Medical Circle, Nashville, AR 71852-8606 | 2010-06-06 |
| 1528008695 | Charles M Caldwell | Pathology | 1020 W Fertitta Blvd, Leesville, LA 71446-4649 | 2006-06-07 |
| 1023061850 | Charles R Caldwell Jr. | Internal Medicine | 3343 Springhill Dr, Suite 1035, North Little Rock, AR 72117-2929 | 2006-05-19 |
| 1750347001 | Charles E Caldwell Jr. | Family Medicine | 8726 Us Hwy 42, Florence, KY 41042 | 2006-04-25 |
| Street Address |
1111 E END BLVD VA MEDICAL CENTER, DENTAL SERVICES |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18711-0030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245295922 | Bharat Singh | Internal Medicine | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2006-04-18 |
| 1083215297 | Amie O'malia | Recreation Therapist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-11-04 |
| 1417557745 | Emily Herron | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-27 |
| 1487253910 | Sara Jane Skoritowski | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-26 |
| 1215536743 | Casondra Smicherko | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-26 |
| 1932708450 | Laura Mowery | Pharmacist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-10-26 |
| 1720697741 | Lori A Miller | Social Worker | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-07-27 |
| 1477179588 | Stephanie Renee Ward | Registered Nurse | 1111 E End Blvd, Wilkes Barre, PA 18711-0026 | 2020-06-24 |
| 1538783246 | Matthew Brian Banford | Occupational Therapist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-05-29 |
| 1285269217 | Arielle Burkavage | Dentist | 1111 E End Blvd, Wilkes Barre, PA 18711-0030 | 2020-03-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467924274 | Leeann Kayal | Nurse Practitioner | 111 East End Boulevard, Wilkes Barre, PA 18711 | 2018-12-19 |
| 1336661701 | Patricia Dworak | Occupational Therapist | 1175 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2017-07-07 |
| 1992160352 | Hope Danishanko | Social Worker | 111 East End Blvd, Wilkes Barre, PA 18711 | 2015-12-29 |
| 1477962785 | Jennifer L. Heck | Physical Therapist | 1140 Route 315, Suite 207, Wilkes-barre, PA 18711 | 2014-08-12 |
| 1821338807 | Melinda Flaim | Physical Therapist | 1555 East End Blvd, Wilkes Barre, PA 18711 | 2013-02-27 |
| 1598900953 | Elizabeth Patricia Keating | Pharmacist | 1000 East Mountain Drive, Wilkes Barre, PA 18711 | 2008-12-12 |
| 1457433294 | Christopher William O'brien | Specialist/Technologist | King's College, 133 North River Street, Wilkes-barre, PA 18711 | 2006-10-20 |
| 1821197450 | Louis Jay Freedman | Obstetrics & Gynecology | Valley Medical Building, 3rd Floor, 1010 East Mountain Boulevard, Wilkes-barre, PA 18711 | 2006-09-21 |
| 1730282625 | Natalia N Belikova | Internal Medicine | 1111 East End Boulvard, Wilkesbarre, PA 18711 | 2006-09-06 |
| 1609883628 | Va Medical Center | General Acute Care Hospital | 1111 East End Blvd., Wilkes-barre, PA 18711 | 2006-08-02 |
| Find all providers in zip 18711 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471913 | Martin L. Supowitz, Dmd, Msd, LLC | Dentist | 5433 Walnut St Ste 200, Pittsburgh, PA 15232-3215 | 2020-09-11 |
| 1780239228 | Hatboro Dental & Specialty LLC | Dentist | 122 N York Rd Ste 2, Hatboro, PA 19040-2622 | 2019-08-01 |
| 1679125835 | Amanda Marie Clemente | Dentist | 3501 Terrace St # B89, Pittsburgh, PA 15213-2523 | 2019-07-09 |
| 1235792458 | Fany Briseyda Ocampo | Dentist | 2137 Welsh Rd Ste 2a, Philadelphia, PA 19115-4963 | 2019-04-15 |
| 1043771447 | Kara Deanne Dragone | Dentist | 8890 Royal Manor Dr Apt 302, Allison Park, PA 15101-2783 | 2019-03-27 |
| 1801356423 | Nicholas Anzur | Dentist | 4225 Trindle Rd, Camp Hill, PA 17011-5752 | 2019-03-20 |
| 1992261036 | Manal Sabir | Dentist | 2200 Benjamin Franklin Pkwy Apt S1603, Philadelphia, PA 19130-3618 | 2019-02-13 |
| 1699242024 | Michael S Ayes Dds and Associates Pennsylvania Vi, PC | Dentist | 70 Buckwalter Rd Ste 309, Royersford, PA 19468-1846 | 2018-10-24 |
| 1043736051 | Miriam Ting | Dentist | 250 W Lancaster Ave Ste 215, Paoli, PA 19301-1751 | 2017-08-21 |
| 1104378611 | Natalie Amoa | Dentist | 8021b Castor Ave, Philadelphia, PA 19152-2733 | 2016-10-31 |
| Find all providers with the same taxonomy | ||||
| City | WILKES BARRE |
| Zip Code | 18711 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.