Dental Board of California
Licensing details for: 47693
Name: CALDEMEYER, CORTLAND S
License Type: Dentist
Primary Status: Cancelled
Previous Names: CALDEMEYER, CORTLAND ❖ CALDEMEYER, CORTLAND STEVEN
Address of Record
920 S WILLOW AVE
COOKEVILLE TN 38501
PUTNAM county
Map
License Relationships
FCS to DDS
License/Registration Role: Must hold an active Dental License
Related Party Role: Elective Facial Cosmetic Surgery Permit
Name: CALDEMEYER, CORTLAND S
License/Registration Type: Elective Facial Cosmetic Surgery Permit
License Number: 9 Primary Status: Cancelled
Address :
920 S. WILLOW AVENUE
COOKEVILLE TN 38501
PUTNAM COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3495 Primary Status: Cancelled
Address :
150 WEST MADISON AVE
EL CAJON CA 92020
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3494 Primary Status: Cancelled
Address :
306 WALNUT AVENUE, STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 4786 Primary Status: Cancelled
Address :
150 W MADISON
EL CAJON CA 92020
SAN DIEGO COUNTY
FNP Owners
License/Registration Role: Owners
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 4801 Primary Status: Cancelled
Address :
306 WALNUT AVE, STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3494 Primary Status: Cancelled
Address :
306 WALNUT AVENUE, STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 4786 Primary Status: Cancelled
Address :
150 W MADISON
EL CAJON CA 92020
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP
License/Registration Type: Fictitious Name Permit
License Number: 3495 Primary Status: Cancelled
Address :
150 WEST MADISON AVE
EL CAJON CA 92020
SAN DIEGO COUNTY
FNP to DDS or OMS
License/Registration Role: Must hold an active Dental License, or Oral Maxillofacial Surgery Permit
Related Party Role: Fictitious Name Permit
Name: CENTER FOR ORAL & FACIAL SURGERY, DENTAL GROUP OF
License/Registration Type: Fictitious Name Permit
License Number: 4801 Primary Status: Cancelled
Address :
306 WALNUT AVE, STE 26
SAN DIEGO CA 92103
SAN DIEGO COUNTY
GA to DDS or OMS or SP
License/Registration Role: Must hold an active Dental License, Oral Maxillofacial Surgery Permit, or Special Permit
Related Party Role: General Anesthesia Permit
Name: CALDEMEYER, CORTLAND S
License/Registration Type: General Anesthesia Permit
License Number: 1228 Primary Status: Cancelled
Address :
1706 MEDICAL PARK DR
WILSON NC 27893
WILSON COUNTY
