# JOHN CASCIO, D.D.S., LLC

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

## Provider details

- **NPI number:** 1306307384
- **Authorized official:** DR. JOHN CASCIO DDS (MEMBER)
- **Authorized official phone:** (317) 513-2710

## Contact information

- **Practice address:** 110 W NORTH ST, PORTLAND, IN 47371-1170
- **Practice address phone:** (260) 726-7006
- **Mailing address:** 110 W NORTH ST, PORTLAND, IN 47371-1170
- **Mailing address phone:** (260) 726-7006

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 03/30/2019
- **Last updated:** 03/30/2019