| Cade Dental Practice | |
|
101 Cowardin Ave 206 Richmond VA 23224-2078 | |
| (804) 233-2881 | |
| (804) 233-2882 |
| Full Name | Cade Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 101 Cowardin Ave, Richmond, Virginia |
| Authorized Official Name and Position | Ronald Evans Cade (DENTIST) |
| Authorized Official Contact | 8042332881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cade Dental Practice 101 Cowardin Ave 206 Richmond VA 23224-2078 Ph: (804) 233-2881 | Cade Dental Practice 101 Cowardin Ave 206 Richmond VA 23224-2078 Ph: (804) 233-2881 |
| NPI Number | 1518187061 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518187061 | NPI | - | NPPES |
| 0000000049018 | Other | ANTHEM BLUE CROSS BLUE SH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401005399 (Virginia) | Primary |
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