Provider Demographics
NPI:1073352357
Name:WILT, CALEB (DMD)
Entity type:Individual
Prefix:DR
First Name:CALEB
Middle Name:
Last Name:WILT
Suffix:
Gender:
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6639 BARBERRY LN APT D
Mailing Address - Street 2:
Mailing Address - City:LIBERTY TOWNSHIP
Mailing Address - State:OH
Mailing Address - Zip Code:45044-1161
Mailing Address - Country:US
Mailing Address - Phone:740-505-1970
Mailing Address - Fax:
Practice Address - Street 1:954 MAIN ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-2553
Practice Address - Country:US
Practice Address - Phone:513-457-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-24
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH30.027549122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist