Jim S Caudill, D.M.D
Dentist, General Practice in Hazard, KY. Individual provider (NPI-1).
NPI number1821119983
StatusActive
Last updated in NPPESDec 19, 2007
Details
- NPI
- 1821119983
- Entity type
- Individual (NPI-1)
- Name
- Jim S Caudill
- Credential
- D.M.D
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 3, 2007
- Last updated
- Dec 19, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 4317 | KY | Yes |
| 122300000X | Dentist | 4317 | KY |
Practice location
359 North HighwayHazard, KY 41701
Phone 606-436-3432
Mailing address
Po Box 1089Hazard, KY 41702
Phone 606-436-3432
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All 17 General Practice Dentistry providers in Hazard · All 1,357 providers in Hazard
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