Organization
CADE DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD EVANS CADE DMD (DENTIST)
(804) 233-2881
Entity
Organization
Contact information
Practice address
101 COWARDIN AVE, 206, RICHMOND, VA 23224-2078
(804) 233-2881
(804) 233-2882
Mailing address
101 COWARDIN AVE, 206, RICHMOND, VA 23224-2078
(804) 233-2881
(804) 233-2882
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005399
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000049018
ANTHEM BLUE CROSS BLUE SH
—
Enumeration date
04/26/2007
Last updated
08/22/2020
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