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General NPI Number Information
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NPI Number | 1003020934
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Entity Type | Organization
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Legal Business Name | JON W CAULFIELD, DDS, PC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 05/09/2012
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Provider Practice Location Address
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Address Line | 7621 SHAFFER PKWY STE A
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City | LITTLETON
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State | CO
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Zip | 80127-3012
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Country | US
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Telephone | 303-972-2224
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Fax | 303-972-2303
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Provider Business Mailing Address
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Address Line | 7621 SHAFFER PKWY STE A
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City | LITTLETON
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State | CO
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Zip | 80127-3012
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Country | US
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Telephone | 303-972-2224
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Fax | 303-972-2303
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JON W CAULFIELD
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Credential | DDS
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Telephone | 303-972-2224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 8147
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License Number State | CO
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