Individual
DR. DAVID J CASSIDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1403 DUG GAP RD., DALTON, GA 30720
(706) 226-8706
(706) 226-7649
Mailing address
1403 DUG GAP RD., DALTON, GA 30720
(706) 226-8706
(706) 226-7649
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9623
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00288549A
—
GA
01
—
0102702
BCBS
GA
01
—
838614
UNITED CONCORDIA
GA
01
—
9182270
DORAL DENTAL
GA
Enumeration date
10/03/2006
Last updated
07/08/2007
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