Provider Type Icon

CHARLES CALDER DDS MD PC NPI 1649479940


NPI Information

NPI: 1649479940
Provider Name: CHARLES CALDER DDS MD PC

Doing Business As: CANYON RIDGE ORAL AND MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
6140 S FORT APACHE RD
SUITE 120
LAS VEGAS, NV
ZIP 89148
Phone: (702) 655-8400
Get Directions

CHARLES CALDER DDS MD PC is an oral and maxillofacial surgery dentist in Las Vegas, NV. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CHARLES CALDER DDS MD PC NPI is 1649479940. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Canyon Ridge Oral And Maxillofacial Surgery.

The provider's business location address is:

6140 S FORT APACHE RD
SUITE 120
LAS VEGAS, NV
ZIP 89148-702
Phone: (702) 655-8400
Fax: (702) 255-8409

The provider's authorized official is Charles T Calder .
The authorized official title is President and has the following contact phone number (702) 655-8400.

The enumeration date for this NPI number is 7/16/2007 and was last updated on 7/16/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223S0112XDentistOral and Maxillofacial SurgeryS2-53NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.