Provider Demographics
NPI:1427620285
Name:POCANO, CARA (DDS)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:POCANO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 21ST AVE N APT 539
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-6154
Mailing Address - Country:US
Mailing Address - Phone:480-383-9505
Mailing Address - Fax:
Practice Address - Street 1:604 S CUMBERLAND ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:TN
Practice Address - Zip Code:37087-4790
Practice Address - Country:US
Practice Address - Phone:615-208-7286
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2023-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN120761223G0001X
CO00204819122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice