Healthcare Provider Details

I. General information

NPI: 1235063983
Provider Name (Legal Business Name): CADE MASON AWBREY I D.M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 CONNECTICUT RD
LEHIGH ACRES FL
33936-6117
US

IV. Provider business mailing address

10900 LEGACY GATEWAY CIR
FORT MYERS FL
33913-2642
US

V. Phone/Fax

Practice location:
  • Phone: 239-369-5861
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberDN31807
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: