Healthcare Provider Details

I. General information

NPI: 1144427022
Provider Name (Legal Business Name): MICHAEL S. CAVENDER, D.D.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8765 E BELL RD STE 213
SCOTTSDALE AZ
85260-1321
US

IV. Provider business mailing address

8765 E BELL RD STE 213
SCOTTSDALE AZ
85260-1321
US

V. Phone/Fax

Practice location:
  • Phone: 480-731-3636
  • Fax: 480-731-3637
Mailing address:
  • Phone: 480-731-3636
  • Fax: 480-731-3637

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number6872
License Number StateAZ

VIII. Authorized Official

Name: DR. MICHAEL S. CAVENDER
Title or Position: DENTIST
Credential: D.D.S.
Phone: 480-731-3636