Organization
DAVID E. CASSITY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID E. CASSITY DMD (REGISTERED AGENT/ ORGANIZER)
(270) 527-8484
Entity
Organization
Contact information
Practice address
117 W 5TH ST, BENTON, KY 42025-1123
(270) 527-8484
(270) 527-2204
Mailing address
117 W 5TH ST, BENTON, KY 42025-1123
(270) 527-8484
(270) 527-2204
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5576
KY
Other
Enumeration date
02/23/2016
Last updated
02/23/2016
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