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Active NPI 1457693178 Individual Practitioner Male Practitioner

Dr. Jon Caldwell , DMD

Dentist - General Practice • Renton, WA

Professional Overview & Biography Verified Profile Summary

Dr. Jon Caldwell, DMD is a registered healthcare professional specializing in Dentist - General Practice in Renton, WA. Practice services are available at 115 PELLY AVE N under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

115 Pelly Ave N

Renton, WA 980575714

Telephone 4252263192
Fax 4252269848
Associated Practice Facility / Clinic
🏢 Kevin P. Huynh Dds Pllc Facility NPI 1265907950

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Renton, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.3 Yrs
Regional Practice Density
62 Specialists

Practicing in Renton, WA (3345 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2021-06-29
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License WA DE60711516

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Dr. Daniel Varadi , DDS

Dentist - General Practice

NPI 1861576746

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location June 29, 2021

Registered at 115 PELLY AVE N, RENTON, WA 980575714 (Tel: 4252263192)

📍
Updated Business Mailing Address June 29, 2021

Registered at 115 PELLY AVE N, RENTON, WA 980575714 (Tel: 4252263192)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2021

Dentist (License #DE60711516 in WA)

NPI Profile Active March 20, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location March 20, 2013

Registered at 2817 REILLY ST, FORT BRAGG, NC 283107302 (Tel: 9106432196)

📍
Updated Business Mailing Address March 20, 2013

Registered at 2817 REILLY ST, FORT BRAGG, NC 283107302

👤
Provider Name / Credentials Updated March 20, 2013

Recorded as JON CALDWELL, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2013

Dentist (License #DS039347 in PA)

🟢
Initial NPI Registration & Enumeration March 20, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1457693178
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2013
Last Update: June 29, 2021
Sole Proprietor: No

Mailing Address

115 Pelly Ave N

Renton, WA 980575714

Phone: 4252263192

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.