Provider Demographics
NPI:1154988103
Name:ERVIN, CAYLEE DUNCAN (DMD)
Entity type:Individual
Prefix:DR
First Name:CAYLEE
Middle Name:DUNCAN
Last Name:ERVIN
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2050 STATE ROUTE 2153
Mailing Address - Street 2:
Mailing Address - City:MORGANFIELD
Mailing Address - State:KY
Mailing Address - Zip Code:42437-7260
Mailing Address - Country:US
Mailing Address - Phone:270-635-5072
Mailing Address - Fax:
Practice Address - Street 1:700 BARRET BLVD STE A
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:KY
Practice Address - Zip Code:42420-7526
Practice Address - Country:US
Practice Address - Phone:270-827-5522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-24
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY10252122300000X, 1223P0221X
IN12013337A1223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry
No122300000XDental ProvidersDentist