# DAVID E. CASSITY PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184084824
- **Authorized official:** DAVID E. CASSITY DMD (REGISTERED AGENT/ ORGANIZER)
- **Authorized official phone:** (270) 527-8484

## Contact information

- **Practice address:** 117 W 5TH ST, BENTON, KY 42025-1123
- **Practice address phone:** (270) 527-8484
- **Practice address fax:** (270) 527-2204
- **Mailing address:** 117 W 5TH ST, BENTON, KY 42025-1123
- **Mailing address phone:** (270) 527-8484
- **Mailing address fax:** (270) 527-2204

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5576 | KY | Yes |

## Other

- **Enumeration date:** 02/23/2016
- **Last updated:** 02/23/2016