STACY CALDWELL DMD - NPI 1093323776 - Dentist in Bloomington, IN

Q: What is Stacy Caldwell's NPI number?

The NPI number for Stacy Caldwell is 1093323776. It was assigned to this individual provider in the NPPES registry on July 17, 2020.

Q: What is Stacy Caldwell's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Caldwell was last updated on July 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Stacy Caldwell Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STACY CALDWELL DMD (NPI 1093323776) is an individual dentist in Bloomington, Indiana, licensed in Indiana (12013388A) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1093323776

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSTACY CALDWELLCredential: DMD

Location Address1121 W 2ND STBloomington, IN 47403-2160

Mailing Address1121 W 2nd StBloomington, IN 47403-2160

Phone(812) 339-1671

Sole ProprietorYes

Enumeration DateJuly 17, 2020

NPPES CertifiedJuly 17, 2020

✔ NPI 1093323776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12013388A

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1121 W 2ND ST, Bloomington, IN 47403

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DENTAL HEALTH ASSOCIATES OF INDIANA

Dentist (General Practice)