# CADE DENTAL PRACTICE

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

## Provider details

- **NPI number:** 1518187061
- **Authorized official:** DR. RONALD EVANS CADE DMD (DENTIST)
- **Authorized official phone:** (804) 233-2881

## Contact information

- **Practice address:** 101 COWARDIN AVE, 206, RICHMOND, VA 23224-2078
- **Practice address phone:** (804) 233-2881
- **Practice address fax:** (804) 233-2882
- **Mailing address:** 101 COWARDIN AVE, 206, RICHMOND, VA 23224-2078
- **Mailing address phone:** (804) 233-2881
- **Mailing address fax:** (804) 233-2882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401005399 | VA | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0000000049018 | ANTHEM BLUE CROSS BLUE SH | — |