| David J Cassidy Dmd, Pc | |
|
1403 Dug Gap Rd Dalton GA 30720-5008 | |
| (706) 226-8706 | |
| Not Available |
| Full Name | David J Cassidy Dmd, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1403 Dug Gap Rd, Dalton, Georgia |
| Authorized Official Name and Position | David J Cassidy (OWNER) |
| Authorized Official Contact | 7062268706 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J Cassidy Dmd, Pc 1403 Dug Gap Rd Dalton GA 30720-5008 Ph: (706) 226-8706 | David J Cassidy Dmd, Pc 1403 Dug Gap Rd Dalton GA 30720-5008 Ph: (706) 226-8706 |
| NPI Number | 1326210139 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326210139 | NPI | - | NPPES |
| 00288549A | Medicaid | GA | |
| 9182270 | Other | GA | WELLCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 9623 (Georgia) | Primary |
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