Provider Demographics
NPI:1386701472
Name:CAIN, JOHN EDWARD (DDS)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:CAIN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 567
Mailing Address - Street 2:
Mailing Address - City:WOODSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43793-0567
Mailing Address - Country:US
Mailing Address - Phone:740-472-1662
Mailing Address - Fax:740-472-2088
Practice Address - Street 1:37984 AIRPORT RD
Practice Address - Street 2:MONROE COUNTY CLINIC
Practice Address - City:WOODSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43793-9247
Practice Address - Country:US
Practice Address - Phone:740-472-1662
Practice Address - Fax:740-474-2088
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2008-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH188251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice