Provider Demographics
NPI:1699880187
Name:CASCANTE, OSCAR GILBERTO (DMD)
Entity type:Individual
Prefix:DR
First Name:OSCAR
Middle Name:GILBERTO
Last Name:CASCANTE
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 1:8501 SW 124TH AVE
Mailing Address - Street 2:SUITE 107
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33183-4627
Mailing Address - Country:US
Mailing Address - Phone:305-279-9005
Mailing Address - Fax:305-271-1599
Practice Address - Street 1:8501 SW 124TH AVE
Practice Address - Street 2:SUITE 107
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33183-4627
Practice Address - Country:US
Practice Address - Phone:305-279-9005
Practice Address - Fax:305-271-1599
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLDN00122871223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL073438100Medicaid