MEDICARE: DR. BRIAN FRANCIS CAHILL D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist	5089	AZ

General Provider Information

NPI Number	:	1558365809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BRIAN FRANCIS CAHILL D.D.S.

Provider Business Mailing Address
First Line	:	4540 E BASELINE RD
Second Line	:	STE 101
City	:	MESA
State	:	AZ
Zip	:	85206-4616
Country	:	US
Telephone Number	:	480-632-6222
Fax Number	:	480-632-7970

Provider Business Practice Location Address
First Line	:	4540 E BASELINE RD
Second Line	:	STE 101
City	:	MESA
State	:	AZ
Zip	:	85206-4616
Country	:	US
Telephone Number	:	480-632-6222
Fax Number	:	480-632-7970

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. BRIAN FRANCIS CAHILL D.D.S.” Practice Location

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