Provider Demographics
NPI:1528183506
Name:CASH, DAVID M (DMD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:M
Last Name:CASH
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3349 TATES CREEK ROAD
Mailing Address - Street 2:SUITE 212
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-3409
Mailing Address - Country:US
Mailing Address - Phone:859-269-5696
Mailing Address - Fax:859-269-4485
Practice Address - Street 1:3349 TATES CREEK RD
Practice Address - Street 2:SUITE 212
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-3467
Practice Address - Country:US
Practice Address - Phone:859-269-5696
Practice Address - Fax:859-269-4485
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY41051223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYAC5105603OtherFEDERAL NARCOTIC RX. NUMB
KY4105OtherDENTAL LISCENSE NUMBER