Provider Demographics
NPI:1427722685
Name:CAHALAN, CARA (DDS)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:CAHALAN
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 1:624 CREEK POINT DR
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:TX
Mailing Address - Zip Code:76179-6316
Mailing Address - Country:US
Mailing Address - Phone:515-724-1277
Mailing Address - Fax:
Practice Address - Street 1:4730 BOAT CLUB RD
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76135-2002
Practice Address - Country:US
Practice Address - Phone:817-237-0388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37697122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist