Cassidy, David J

Cassidy, David J is an sole proprietor health care provider with primary practice located at 1403 Dug Gap Rd. , Dalton GA 30720. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Cassidy, David J can be contacted via phone (706) 226-8706.

Contact Information

Primary practice address
1403 Dug Gap Rd. Dalton GA 30720
Phone: (706) 226-8706
Fax: (706) 226-7649
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 9623 Georgia

Profile Details

NPI number 1346334091
LBN Legal business name Cassidy, David J
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346334091 NPPES
Georgia Other 9182270 DORAL DENTAL
Georgia MEDICAID 00288549A DORAL DENTAL
Georgia Other 838614 DORAL DENTAL
Georgia Other 0102702 DORAL DENTAL

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