Provider Demographics
NPI:1104501949
Name:KALER, CALVIN (DDS)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:
Last Name:KALER
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11433 SHADY OAKS LN
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-3231
Mailing Address - Country:US
Mailing Address - Phone:561-670-9634
Mailing Address - Fax:
Practice Address - Street 1:3400 BURNS RD STE 100
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-4352
Practice Address - Country:US
Practice Address - Phone:561-627-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL28173122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist