MEDICARE: DR. ORLANDO L CAYETANO 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	1223P0700X	Prosthodontics	12009851A	IN

General Provider Information

NPI Number	:	1568638583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ORLANDO L CAYETANO D.D.S.

Provider Business Mailing Address
First Line	:	6202 BROADWAY ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1837
Country	:	US
Telephone Number	:	317-254-0433
Fax Number	:	317-254-0596

Provider Business Practice Location Address
First Line	:	6202 BROADWAY ST
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46220-1837
Country	:	US
Telephone Number	:	317-254-0433
Fax Number	:	317-254-0596

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

Provider Enumeration Date	:	04/30/2008
Last Update Date	:	06/02/2026

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Directions to “ DR. ORLANDO L CAYETANO D.D.S.” Practice Location

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